CMS Formulary

Displaying 8991-9000 of 1611142 results.
ID: 8991
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356576
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 8992
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356580
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8993
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356584
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8994
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356588
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 8995
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 720
Qty Limit Days: 30
ID: 8996
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 824299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8997
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 824303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8998
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8999
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796665
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9000
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0