CMS Formulary

Displaying 7571-7580 of 1611142 results.
ID: 7571
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1651275
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 7572
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664321
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7573
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667882
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 7574
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665369
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7575
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664328
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7576
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664325
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7577
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1546083
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 7578
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796091
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7579
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796096
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 7580
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1862688
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30