CMS Formulary

Displaying 6331-6340 of 1611142 results.
ID: 6331
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 310003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6332
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 310004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6333
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 310005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6334
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6335
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 197682
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6336
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 866910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6337
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 308867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6338
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1092357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6339
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665473
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 6340
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1798370
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30