CMS Formulary

Displaying 9681-9690 of 1611142 results.
ID: 9681
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272122
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9682
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9683
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2394947
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 9684
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9685
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9686
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9687
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9688
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 206883
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9689
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2473107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9690
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 206902
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0