CMS Formulary

Displaying 101741-101750 of 1611142 results.
ID: 101741
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986354
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 101742
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986356
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 101743
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205454
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 101744
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653198
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 101745
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 977842
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 101746
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 977840
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 101747
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 897126
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 9
Qty Limit Days: 30
ID: 101748
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 2398842
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 101749
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991311
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 101750
Formulary ID: 00021039
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991317
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28