CMS Formulary

Displaying 110231-110240 of 1611142 results.
ID: 110231
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 106336
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 110232
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 543460
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110233
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 197574
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 110234
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 197575
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 110235
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 358917
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110236
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 309333
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 110237
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992273
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110238
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 477451
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 30
ID: 110239
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 855168
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110240
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 198245
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0