CMS Formulary

Displaying 91341-91350 of 1611142 results.
ID: 91341
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 91342
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 197659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 91343
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 91344
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 91345
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 91346
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 91347
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 91348
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 751868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 91349
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 751871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 91350
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 751870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0