CMS Formulary

Displaying 6001-6010 of 1611142 results.
ID: 6001
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 656660
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6002
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989085
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 6003
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442143
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6004
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729053
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 6005
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729057
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6006
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729061
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6007
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729065
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6008
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729013
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6009
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729029
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6010
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729033
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30