CMS Formulary

Displaying 9271-9280 of 1611142 results.
ID: 9271
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861650
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9272
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861654
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9273
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123076
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 30
ID: 9274
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 349591
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9275
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 349592
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9276
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 349593
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9277
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011736
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9278
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9279
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 388311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9280
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 200133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0