CMS Formulary

Displaying 6731-6740 of 1611142 results.
ID: 6731
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 810079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6732
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284108
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 6733
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057205
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6734
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6735
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6736
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6737
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099952
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 6738
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2105860
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6739
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2469340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6740
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 637188
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 336
Qty Limit Days: 365