CMS Formulary

Displaying 29731-29740 of 1611142 results.
ID: 29731
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29732
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29733
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29734
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29735
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 904467
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29736
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 904475
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29737
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29738
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 199058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29739
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 596843
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 29740
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 308868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0