CMS Formulary

Displaying 9541-9550 of 1611142 results.
ID: 9541
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265729
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9542
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265732
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9543
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265735
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9544
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809643
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9545
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9546
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1495070
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 9547
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 199888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9548
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 151226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9549
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 199889
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9550
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 311486
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0