CMS Formulary

Displaying 29511-29520 of 1611142 results.
ID: 29511
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 616283
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 29512
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284106
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 29513
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 616287
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 29514
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1541928
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 29515
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 616292
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 29516
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1357547
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29517
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048568
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29518
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2478437
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29519
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099956
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 29520
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058926
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30