CMS Formulary

Displaying 9981-9990 of 1611142 results.
ID: 9981
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2103179
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 9982
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 810075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9983
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 810079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9984
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284108
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 9985
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057205
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9986
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9987
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9988
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2057219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9989
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099952
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 9990
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2105860
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30