CMS Formulary

Displaying 991-1000 of 1611142 results.
ID: 991
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 992
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 993
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 261178
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 994
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 198300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 995
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 106303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 996
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 313450
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 997
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 313451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 998
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 308508
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 999
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 4
ID: 1000
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0