CMS Formulary

Displaying 8441-8450 of 1611142 results.
ID: 8441
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2287905
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 8442
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2056700
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 8443
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358775
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8444
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8445
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8446
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1112687
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 91
Qty Limit Days: 84
ID: 8447
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 748879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8448
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 834768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8449
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 748859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8450
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 751875
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0