CMS Formulary

Displaying 6571-6580 of 1611142 results.
ID: 6571
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729311
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 6572
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6573
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734642
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6574
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988671
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 6575
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988675
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 6576
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1924315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6577
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6578
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 798300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6579
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6580
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0