CMS Formulary

Displaying 7561-7570 of 1611142 results.
ID: 7561
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430457
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7562
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1100706
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7563
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430449
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7564
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592748
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7565
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592752
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7566
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243033
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7567
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243040
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7568
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243026
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7569
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545664
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7570
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545668
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30