CMS Formulary

Displaying 9061-9070 of 1611142 results.
ID: 9061
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1431237
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9062
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040043
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9063
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1297357
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9064
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356693
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9065
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9066
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9067
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9068
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101465
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9069
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926823
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9070
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926827
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 30