CMS Formulary

Displaying 7201-7210 of 1611142 results.
ID: 7201
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940498
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7202
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593831
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7203
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593833
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7204
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593835
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7205
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593775
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7206
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861045
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 28
ID: 7207
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861043
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 28
ID: 7208
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 206347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7209
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7210
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0