CMS Formulary

Displaying 8191-8200 of 1611142 results.
ID: 8191
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8192
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055650
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 8193
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8194
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1484296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8195
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8196
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244205
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8197
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8198
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8199
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8200
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0