CMS Formulary

Displaying 9771-9780 of 1611142 results.
ID: 9771
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205474
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9772
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946840
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9773
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946844
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9774
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946848
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 9775
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 207834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9776
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1718936
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 9777
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9778
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 729234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9779
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 582971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9780
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 582976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0