CMS Formulary

Displaying 6401-6410 of 1611142 results.
ID: 6401
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1661799
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 6402
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946589
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 32
Qty Limit Days: 30
ID: 6403
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1421461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6404
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044928
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6405
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044932
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6406
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6407
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6408
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6409
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6410
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0