CMS Formulary

Displaying 6781-6790 of 1611142 results.
ID: 6781
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1747567
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 6782
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1747580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6783
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6784
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921010
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6785
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6786
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 152971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6787
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2166143
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6788
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2196900
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6789
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6790
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940709
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28