CMS Formulary

Displaying 4851-4860 of 1611142 results.
ID: 4851
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4852
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 207836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4853
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4854
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 4855
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 4856
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4857
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122661
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4858
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122659
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4859
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122657
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4860
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122655
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0