CMS Formulary

Displaying 9531-9540 of 1611142 results.
ID: 9531
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830801
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9532
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 352257
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 540
Qty Limit Days: 30
ID: 9533
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2393794
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 540
Qty Limit Days: 30
ID: 9534
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2121764
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9535
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173841
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9536
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9537
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602028
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 9538
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602034
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 9539
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602040
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 9540
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602046
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28