CMS Formulary

Displaying 8681-8690 of 1611142 results.
ID: 8681
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8682
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8683
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8684
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8685
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 8686
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 8687
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 8688
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658329
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8689
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8690
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30