CMS Formulary

Displaying 28181-28190 of 1611142 results.
ID: 28181
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049504
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 28182
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049545
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 28183
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049565
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 28184
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049576
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 28185
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049586
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 28186
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049595
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 28187
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049601
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 28188
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28189
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28190
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0