CMS Formulary

Displaying 5991-6000 of 1611142 results.
ID: 5991
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 897021
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 5992
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049264
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 91
Qty Limit Days: 84
ID: 5993
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1856424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5994
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2052064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5995
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861375
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5996
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5997
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5998
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 485442
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 5999
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 485465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6000
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 352066
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30