CMS Formulary

Displaying 7381-7390 of 1611142 results.
ID: 7381
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751620
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7382
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7383
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751616
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7384
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 827075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7385
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 833151
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7386
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 833139
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7387
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 833143
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7388
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 833149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7389
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 833146
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7390
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0