CMS Formulary

Displaying 9801-9810 of 1611142 results.
ID: 9801
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 213284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9802
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 859865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9803
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 352297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9804
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 731328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9805
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 404460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9806
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9807
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547575
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9808
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547110
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9809
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243848
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9810
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243843
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30