CMS Formulary

Displaying 6531-6540 of 1611142 results.
ID: 6531
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1731317
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 24
Qty Limit Days: 28
ID: 6532
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 643177
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6533
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 643173
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 6534
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 643175
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6535
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 799830
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6536
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1045408
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6537
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1045404
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6538
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364441
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6539
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364447
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6540
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1145932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0