CMS Formulary

Displaying 9691-9700 of 1611142 results.
ID: 9691
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 483450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 9692
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 483438
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 9693
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 483440
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 9694
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 483444
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 9695
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178403
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 9696
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178405
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 9697
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382990
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 24
Qty Limit Days: 28
ID: 9698
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178407
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 32
Qty Limit Days: 28
ID: 9699
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178409
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 28
ID: 9700
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382991
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28