CMS Formulary

Displaying 122171-122180 of 1611142 results.
ID: 122171
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 283485
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122172
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 756209
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1920
Qty Limit Days: 30
ID: 122173
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 311943
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1200
Qty Limit Days: 30
ID: 122174
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 313850
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122175
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 313222
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122176
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 309076
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122177
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 309078
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122178
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 198352
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 122179
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 200031
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122180
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 200033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0