CMS Formulary

Displaying 8481-8490 of 1611142 results.
ID: 8481
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8482
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8483
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8484
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1111110
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 10
ID: 8485
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2279847
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 10
ID: 8486
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1001690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8487
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2465556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8488
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 905394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8489
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 404539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8490
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1543069
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30