CMS Formulary

Displaying 6581-6590 of 1611142 results.
ID: 6581
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 836636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6582
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 836634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6583
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 6584
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 6585
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6586
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6587
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 6588
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6589
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6590
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0