CMS Formulary

Displaying 8101-8110 of 1611142 results.
ID: 8101
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 758032
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 8102
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 758027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 8103
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8104
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 207836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8105
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8106
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 8107
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 8108
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8109
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8110
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0