CMS Formulary

Displaying 3981-3990 of 1611142 results.
ID: 3981
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3982
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3983
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3984
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3985
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 856706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3986
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 856429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3987
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 310670
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3988
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373483
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 7
ID: 3989
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373491
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3990
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 856797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0