CMS Formulary

Displaying 72761-72770 of 1611142 results.
ID: 72761
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 72762
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 314000
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72763
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 310536
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72764
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 310539
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72765
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299903
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72766
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000695
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72767
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299909
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72768
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 197507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72769
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 197737
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 72770
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 310534
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0