CMS Formulary

Displaying 44981-44990 of 1611142 results.
ID: 44981
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 636042
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 44982
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 636045
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 44983
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 251872
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 44984
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 314200
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 44985
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 349483
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 44986
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 349199
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 44987
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 349200
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 44988
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 200224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 44989
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 898350
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 44990
Formulary ID: 00021015
Formulary Version: 14
Contract Year: 2021
RXCUI: 898353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0