CMS Formulary

Displaying 8211-8220 of 1611142 results.
ID: 8211
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 577324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8212
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 727316
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 8213
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870207
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 8214
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1374574
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 28
ID: 8215
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8216
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2198370
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8217
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 865208
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8218
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 865212
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8219
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 865216
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8220
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 723827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0