CMS Formulary

Displaying 9651-9660 of 1611142 results.
ID: 9651
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9652
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9653
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1661799
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 9654
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946589
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 32
Qty Limit Days: 30
ID: 9655
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1421461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9656
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044928
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9657
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9658
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9659
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9660
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30