CMS Formulary

Displaying 6711-6720 of 1611142 results.
ID: 6711
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 105585
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6712
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197931
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6713
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 312617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6714
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6715
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6716
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 213272
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6717
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 207100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6718
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 804547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6719
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1307630
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 6720
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1307635
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30