CMS Formulary

Displaying 8671-8680 of 1611142 results.
ID: 8671
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049565
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8672
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049576
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8673
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049586
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8674
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049595
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8675
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049601
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8676
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8677
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8678
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8679
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8680
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0