CMS Formulary

Displaying 9881-9890 of 1611142 results.
ID: 9881
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1859000
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9882
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604544
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 28
ID: 9883
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2002420
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 9884
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923338
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9885
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9886
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876406
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9887
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2375329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9888
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9889
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003757
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9890
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003767
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0