CMS Formulary

Displaying 29851-29860 of 1611142 results.
ID: 29851
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197392
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29852
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 597852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29853
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 597850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29854
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29855
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 284245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29856
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 835886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29857
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 866049
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 29858
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 896019
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 29859
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 896027
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 29860
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 896023
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30