CMS Formulary

Displaying 941-950 of 1611142 results.
ID: 941
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 905495
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 942
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 835913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 943
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 944
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 995232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 945
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 977883
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 946
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197863
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 947
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 948
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197554
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 949
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 950
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 856369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0