CMS Formulary

Displaying 9331-9340 of 1611142 results.
ID: 9331
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490038
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 9332
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9333
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2257015
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9334
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044720
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9335
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9336
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044732
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9337
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9338
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9339
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9340
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 311288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0