CMS Formulary

Displaying 7191-7200 of 1611142 results.
ID: 7191
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1942489
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 7192
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047639
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 7193
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2053927
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 7194
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721571
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7195
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721583
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7196
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989109
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 7197
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205634
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 7198
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2387331
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 28
ID: 7199
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7200
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30