CMS Formulary

Displaying 8281-8290 of 1611142 results.
ID: 8281
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 749780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8282
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 204844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8283
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198372
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8284
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8285
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8286
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242819
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 56
ID: 8287
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242815
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 56
ID: 8288
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 616749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8289
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 728231
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8290
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1657212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0