CMS Formulary

Displaying 29561-29570 of 1611142 results.
ID: 29561
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29562
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29563
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29564
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29565
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 727705
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29566
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655728
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29567
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 825170
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29568
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801278
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29569
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 847741
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 29570
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0