CMS Formulary

Displaying 27791-27800 of 1611142 results.
ID: 27791
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 749783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27792
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 248656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27793
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 749780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27794
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 204844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27795
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198372
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27796
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27797
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27798
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242819
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 56
ID: 27799
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242815
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 56
ID: 27800
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 616749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0