CMS Formulary

Displaying 46901-46910 of 1611142 results.
ID: 46901
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46902
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46903
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46904
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46905
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46906
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46907
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46908
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46909
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 46910
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797863
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 50
Qty Limit Days: 25