CMS Formulary

Displaying 6801-6810 of 1611142 results.
ID: 6801
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 727705
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6802
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6803
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 825170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6804
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801278
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6805
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 847741
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 6806
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6807
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2056897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6808
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 746609
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 6809
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 845518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 6810
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 845512
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28