CMS Formulary

Displaying 29641-29650 of 1611142 results.
ID: 29641
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 978006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29642
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 834022
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 30
ID: 29643
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 833217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29644
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 831103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29645
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 831102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29646
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 831054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29647
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197724
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29648
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29649
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29650
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 904458
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0