CMS Formulary

Displaying 8111-8120 of 1611142 results.
ID: 8111
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8112
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8113
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8114
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8115
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122642
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8116
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2477272
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8117
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 795749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8118
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8119
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 239189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8120
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0