CMS Formulary

Displaying 601-610 of 1611142 results.
ID: 601
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 895996
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 602
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 896001
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 603
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 896006
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 24
Qty Limit Days: 28
ID: 604
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1539893
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 605
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1487528
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 606
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547660
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 607
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547672
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 608
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1720606
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 609
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648789
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 610
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1945048
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30