CMS Formulary

Displaying 471-480 of 1611142 results.
ID: 471
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 596843
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 472
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 308868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 473
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 403879
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 474
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 476556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 475
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197535
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 476
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310295
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 477
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310297
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 478
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 313992
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 479
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 313993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 480
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310293
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30