CMS Formulary

Displaying 8581-8590 of 1611142 results.
ID: 8581
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123191
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 8582
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 727537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8583
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648162
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8584
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8585
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048718
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8586
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048722
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8587
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8588
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1865962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8589
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197699
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8590
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197700
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0