CMS Formulary

Displaying 6861-6870 of 1611142 results.
ID: 6861
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2121100
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 6862
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2390954
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 6863
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 545293
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6864
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 207029
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6865
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 665022
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6866
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1720881
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6867
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6868
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 207035
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6869
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 261101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6870
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 847232
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28