CMS Formulary

Displaying 8701-8710 of 1611142 results.
ID: 8701
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 8702
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 8703
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8704
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8705
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8706
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8707
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 404450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8708
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242233
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 8709
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 616116
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 8710
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 616114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28