CMS Formulary

Displaying 6961-6970 of 1611142 results.
ID: 6961
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860137
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6962
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 6963
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6964
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 835925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6965
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 241834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6966
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1368954
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6967
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6968
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6969
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 6970
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0