CMS Formulary

Displaying 9241-9250 of 1611142 results.
ID: 9241
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 724861
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9242
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 403818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9243
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 897021
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9244
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049264
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 91
Qty Limit Days: 84
ID: 9245
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1856424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9246
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2052064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9247
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861375
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9248
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9249
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9250
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 485442
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30