CMS Formulary

Displaying 9261-9270 of 1611142 results.
ID: 9261
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729029
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9262
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729033
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9263
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729047
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9264
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9265
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2261800
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 9266
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9267
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9268
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 727714
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9269
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 314230
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9270
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861646
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30