CMS Formulary

Displaying 119981-119990 of 1611142 results.
ID: 119981
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1043567
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 119982
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1043582
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 119983
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1043574
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 119984
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1486981
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 119985
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1486977
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 119986
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1940498
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 119987
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1593831
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 119988
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1593833
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 119989
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1593835
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 119990
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1593775
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30