CMS Formulary

Displaying 9791-9800 of 1611142 results.
ID: 9791
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364447
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9792
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1145932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9793
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799230
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9794
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1925255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9795
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1925257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9796
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1598989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9797
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9798
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9799
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 213282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9800
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 213283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0