CMS Formulary

Displaying 6611-6620 of 1611142 results.
ID: 6611
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 762852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6612
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 762859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6613
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 762868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6614
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 762897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6615
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1009341
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25
ID: 6616
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1595462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6617
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1595473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6618
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1595478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6619
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1595292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6620
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1995479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0