CMS Formulary

Displaying 7181-7190 of 1611142 results.
ID: 7181
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 800812
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7182
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1189640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7183
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 800933
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7184
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2001321
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 7185
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091843
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7186
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 402091
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7187
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986819
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7188
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2289424
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 7189
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2289428
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 7190
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1942485
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30