CMS Formulary

Displaying 7371-7380 of 1611142 results.
ID: 7371
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1086780
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7372
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1086786
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7373
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1307415
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7374
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1307421
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7375
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1869699
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7376
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1805427
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7377
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602588
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7378
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1805422
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7379
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602594
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7380
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1858971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0