CMS Formulary

Displaying 27081-27090 of 1611142 results.
ID: 27081
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545664
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27082
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545668
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27083
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1651275
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 27084
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664321
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27085
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667882
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 27086
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665369
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27087
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664328
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27088
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664325
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27089
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1546083
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 27090
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796091
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30