CMS Formulary

Displaying 7051-7060 of 1611142 results.
ID: 7051
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197409
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7052
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7053
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7054
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 103401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7055
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 242736
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7056
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 706546
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7057
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 311033
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 7058
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 311027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 7059
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 213442
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 7060
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 28