CMS Formulary

Displaying 8571-8580 of 1611142 results.
ID: 8571
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8572
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649946
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8573
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649964
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8574
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 993456
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 180
ID: 8575
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8576
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8577
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8578
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2168596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8579
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045638
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 8580
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2120195
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30