CMS Formulary

Displaying 7291-7300 of 1611142 results.
ID: 7291
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 248478
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 7292
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7293
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7294
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830869
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7295
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7296
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 260350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7297
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 260351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7298
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 432401
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7299
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7300
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 226552
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30