CMS Formulary

Displaying 7071-7080 of 1611142 results.
ID: 7071
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2398842
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 7072
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991311
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 7073
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991317
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 7074
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2200654
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7075
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2200658
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7076
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2200650
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7077
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653204
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 7078
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 7079
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 849851
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7080
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 847247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0