CMS Formulary

Displaying 8891-8900 of 1611142 results.
ID: 8891
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1719766
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8892
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667666
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8893
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667670
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8894
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667674
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8895
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667678
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8896
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1741747
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8897
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809471
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8898
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8899
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8900
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0