CMS Formulary

Displaying 7901-7910 of 1611142 results.
ID: 7901
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7902
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7903
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7904
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7905
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7906
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790533
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7907
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1791560
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7908
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1791569
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 7909
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1791576
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 7910
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1791582
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30