CMS Formulary

Displaying 9661-9670 of 1611142 results.
ID: 9661
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9662
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9663
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9664
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283505
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9665
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283515
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9666
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9667
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283509
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9668
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283513
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9669
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9670
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0