CMS Formulary

Displaying 6501-6510 of 1611142 results.
ID: 6501
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6502
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6503
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861663
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6504
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 545278
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6505
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1551300
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 6506
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1551306
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 6507
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 6508
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1745108
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6509
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2395779
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 6510
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058887
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30