CMS Formulary

Displaying 7101-7110 of 1611142 results.
ID: 7101
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896229
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7102
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896237
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 30
ID: 7103
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896245
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 30
ID: 7104
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896273
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 30
ID: 7105
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 895996
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 7106
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896001
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 7107
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 896006
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 24
Qty Limit Days: 28
ID: 7108
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1539893
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7109
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1487528
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7110
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547660
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30