CMS Formulary

Displaying 27611-27620 of 1611142 results.
ID: 27611
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 751570
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27612
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 897044
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27613
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 758032
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 27614
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 758027
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 27615
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27616
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 207836
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27617
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27618
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 27619
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 27620
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0