CMS Formulary

Displaying 7641-7650 of 1611142 results.
ID: 7641
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 828539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7642
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 545835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7643
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 645884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7644
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 754508
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 7645
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7646
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 310600
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7647
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 403850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7648
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7649
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7650
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0