CMS Formulary

Displaying 7171-7180 of 1611142 results.
ID: 7171
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7172
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7173
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7174
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7175
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 794639
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7176
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 616578
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7177
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 801417
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7178
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 204520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7179
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7180
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 800928
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0