CMS Formulary

Displaying 9611-9620 of 1611142 results.
ID: 9611
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197944
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9612
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659929
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9613
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2102705
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9614
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058906
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9615
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1872458
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 9616
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049133
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 9617
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049121
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 9618
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1855072
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9619
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986331
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9620
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1918230
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30