CMS Formulary

Displaying 27281-27290 of 1611142 results.
ID: 27281
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 310288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27282
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27283
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27284
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 598006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27285
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27286
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 861601
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27287
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 861597
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27288
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 615882
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27289
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 284496
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27290
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 855926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30