CMS Formulary

Displaying 27101-27110 of 1611142 results.
ID: 27101
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 885219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27102
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 885213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27103
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049635
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 27104
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27105
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 199167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27106
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 199164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27107
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 763181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27108
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 763179
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27109
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 763185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27110
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 763183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0