CMS Formulary

Displaying 8091-8100 of 1611142 results.
ID: 8091
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1307056
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8092
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1010604
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8093
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8094
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351223
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 8095
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8096
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 401938
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 8097
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8098
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8099
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751570
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8100
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 897044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0