CMS Formulary

Displaying 9821-9830 of 1611142 results.
ID: 9821
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 861821
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9822
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 861771
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 9823
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729311
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 9824
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9825
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734642
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9826
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988671
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 9827
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988675
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 9828
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1924315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9829
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9830
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 798300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0