CMS Formulary

Displaying 8901-8910 of 1611142 results.
ID: 8901
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8902
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 616148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8903
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 901614
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8904
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1147337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8905
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1306298
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8906
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1551999
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8907
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1484922
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 8908
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2203999
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 8909
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2204092
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 8910
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544471
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30