CMS Formulary

Displaying 6521-6530 of 1611142 results.
ID: 6521
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946844
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 6522
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946848
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 6523
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 207834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6524
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1718936
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 6525
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6526
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 729234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6527
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 582971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6528
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 582976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6529
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1435117
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 6530
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28