CMS Formulary

Displaying 27431-27440 of 1611142 results.
ID: 27431
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27432
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 242800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27433
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27434
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27435
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1361574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27436
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 616539
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27437
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 616541
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27438
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 317094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27439
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 349435
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27440
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 349434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0