CMS Formulary

Displaying 30051-30060 of 1611142 results.
ID: 30051
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30052
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 242892
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 30053
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1149632
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 30054
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 242891
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 30055
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 248478
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 30056
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30057
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 830865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30058
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 830869
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30059
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30060
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 260350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0