CMS Formulary

Displaying 9071-9080 of 1611142 results.
ID: 9071
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9072
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9073
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9074
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876674
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9075
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1812434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9076
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 866111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9077
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9078
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649593
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 9079
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1546189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 9080
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2261794
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30