CMS Formulary

Displaying 6511-6520 of 1611142 results.
ID: 6511
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2370174
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 6512
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2170613
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 30
ID: 6513
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2395785
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 6514
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2370170
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 6515
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6516
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2256947
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 6517
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946836
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 6518
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2256943
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 6519
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205474
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6520
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946840
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28