CMS Formulary

Displaying 7091-7100 of 1611142 results.
ID: 7091
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 284245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7092
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 835886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7093
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 866049
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7094
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896019
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7095
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 7096
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896023
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7097
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 213484
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7098
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 759473
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 180
ID: 7099
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896185
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7100
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896212
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30