CMS Formulary

Displaying 110661-110670 of 1611142 results.
ID: 110661
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1811182
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 110662
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110663
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 852920
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110664
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 313096
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110665
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 198224
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110666
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 318179
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110667
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 283535
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110668
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 858778
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 110669
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 198222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110670
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 198150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0