CMS Formulary

Displaying 6751-6760 of 1611142 results.
ID: 6751
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 616292
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6752
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1357547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6753
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6754
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2478437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6755
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099956
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6756
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6757
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047602
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 6758
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047608
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 6759
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 6760
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047596
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28