CMS Formulary

Displaying 7061-7070 of 1611142 results.
ID: 7061
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2206092
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7062
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2206099
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7063
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049380
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7064
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986354
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 7065
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986356
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7066
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205454
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7067
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653198
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7068
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 977842
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 7069
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 977840
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7070
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 897126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 9
Qty Limit Days: 30