CMS Formulary

Displaying 29281-29290 of 1611142 results.
ID: 29281
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946836
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 29282
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2256943
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 29283
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205474
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29284
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946840
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 29285
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946844
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 29286
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946848
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 29287
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 207834
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29288
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1718936
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 29289
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29290
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 729234
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0