CMS Formulary

Displaying 6011-6020 of 1611142 results.
ID: 6011
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729047
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6012
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729076
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6013
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2261800
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 6014
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799001
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6015
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790317
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6016
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 727714
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6017
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 314230
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6018
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861646
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6019
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861650
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6020
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861654
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30