CMS Formulary

Displaying 7111-7120 of 1611142 results.
ID: 7111
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547672
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7112
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1720606
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 7113
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648789
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7114
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1945048
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7115
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045382
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7116
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2109239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7117
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2170993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 7118
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173822
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 7119
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2395775
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7120
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 249066
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0