CMS Formulary

Displaying 27391-27400 of 1611142 results.
ID: 27391
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27392
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27393
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27394
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27395
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27396
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27397
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27398
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797863
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 50
Qty Limit Days: 25
ID: 27399
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 213262
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27400
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 545259
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0