CMS Formulary

Displaying 8871-8880 of 1611142 results.
ID: 8871
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 978573
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8872
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8873
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8874
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 314072
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25
ID: 8875
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 244967
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8876
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 309680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8877
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 309679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8878
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1376336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8879
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 204874
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8880
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313415
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0