CMS Formulary

Displaying 110851-110860 of 1611142 results.
ID: 110851
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049586
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 110852
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049595
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 110853
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049601
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 110854
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110855
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110856
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110857
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110858
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110859
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110860
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0