CMS Formulary

Displaying 6651-6660 of 1611142 results.
ID: 6651
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6652
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6653
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6654
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6655
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6656
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000487
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6657
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6658
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6659
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797833
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 6660
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797844
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 10