CMS Formulary

Displaying 101611-101620 of 1611142 results.
ID: 101611
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 198141
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 101612
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 834046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 101613
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 834040
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 101614
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 197536
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 101615
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 429212
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 101616
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 309374
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 135
Qty Limit Days: 30
ID: 101617
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299917
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 101618
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 995218
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 101619
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299896
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 101620
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 866090
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0