CMS Formulary

Displaying 6471-6480 of 1611142 results.
ID: 6471
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2472789
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6472
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2478450
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 6473
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2369403
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 6474
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1594673
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6475
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 905059
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 6476
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 905064
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 6477
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 905057
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 168
ID: 6478
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6479
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1487076
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 28
ID: 6480
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0