CMS Formulary

Displaying 9761-9770 of 1611142 results.
ID: 9761
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2395779
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 9762
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058887
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 9763
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2370174
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 9764
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2170613
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 30
ID: 9765
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2395785
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 9766
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2370170
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 9767
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9768
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2256947
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 9769
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946836
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9770
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2256943
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30