CMS Formulary

Displaying 110611-110620 of 1611142 results.
ID: 110611
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 312839
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 30
ID: 110612
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 312837
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 30
ID: 110613
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091341
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 900
Qty Limit Days: 30
ID: 110614
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359124
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110615
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 403884
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110616
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 310599
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110617
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 856535
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110618
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 856569
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110619
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 856460
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110620
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 856481
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0