CMS Formulary

Displaying 8711-8720 of 1611142 results.
ID: 8711
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 643714
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 8712
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1429367
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 8713
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 643722
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 8714
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369724
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 8715
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369728
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 8716
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369732
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 8717
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369736
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 8718
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8719
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940372
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8720
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197501
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30