CMS Formulary

Displaying 8741-8750 of 1611142 results.
ID: 8741
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1600710
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8742
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999587
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 8743
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8744
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2373941
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8745
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049677
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8746
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 762675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8747
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 259966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8748
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8749
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 401953
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8750
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 401954
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30