CMS Formulary

Displaying 9701-9710 of 1611142 results.
ID: 9701
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 9702
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9703
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9704
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9705
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9706
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9707
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9708
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 848333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 9709
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 848343
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 9710
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28