CMS Formulary

Displaying 27891-27900 of 1611142 results.
ID: 27891
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1193353
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27892
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359344
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 27893
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359348
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 27894
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359340
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 27895
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2361300
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 27896
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2361296
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 27897
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2174390
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 27898
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243052
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 27899
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606866
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 27900
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2257013
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28