CMS Formulary

Displaying 7391-7400 of 1611142 results.
ID: 7391
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433223
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7392
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433229
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7393
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433235
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7394
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433241
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7395
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1307309
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 7396
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2052609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7397
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2052704
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7398
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2105817
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 7399
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7400
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300803
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0