CMS Formulary

Displaying 8291-8300 of 1611142 results.
ID: 8291
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1735537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8292
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 992403
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8293
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1735496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8294
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1147228
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 8295
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 8296
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 8297
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 205532
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8298
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592285
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 8299
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868016
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 8300
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868020
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30