CMS Formulary

Displaying 9991-10000 of 1611142 results.
ID: 9991
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2469340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9992
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 637188
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 336
Qty Limit Days: 365
ID: 9993
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 795735
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 336
Qty Limit Days: 365
ID: 9994
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 637190
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 336
Qty Limit Days: 365
ID: 9995
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 795737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9996
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284104
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 9997
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1741049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9998
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2273115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9999
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 616283
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 10000
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284106
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28