CMS Formulary

Displaying 9671-9680 of 1611142 results.
ID: 9671
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283540
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9672
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 311944
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9673
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9674
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9675
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058520
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9676
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058525
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9677
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 208083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9678
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054275
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 9679
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2275613
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9680
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272118
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30