CMS Formulary

Displaying 8381-8390 of 1611142 results.
ID: 8381
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359348
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 8382
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359340
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 8383
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2361300
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 8384
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2361296
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 8385
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2174390
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 8386
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243052
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 8387
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606866
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 8388
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2257013
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 8389
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606870
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 8390
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2053519
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28