CMS Formulary

Displaying 8331-8340 of 1611142 results.
ID: 8331
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2180336
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 8332
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 615979
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 8333
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 207059
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 30
ID: 8334
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 211140
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 8335
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 706831
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 8336
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 706827
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 8337
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 706829
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 8338
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 706825
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 8339
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 858074
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 28
ID: 8340
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 858051
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 28