CMS Formulary

Displaying 7841-7850 of 1611142 results.
ID: 7841
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 863628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7842
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 314080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7843
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7844
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 545236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7845
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7846
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 312075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7847
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 308345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7848
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197636
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7849
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 260243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7850
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 312641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0