CMS Formulary

Displaying 8641-8650 of 1611142 results.
ID: 8641
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8642
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8643
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8644
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8645
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8646
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 8647
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8648
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8649
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8650
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0