CMS Formulary

Displaying 123461-123470 of 1611142 results.
ID: 123461
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 2395775
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 123462
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 249066
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123463
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 311671
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123464
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 898367
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 123465
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 898378
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 123466
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 898372
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 123467
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 995278
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123468
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 995253
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123469
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 198228
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123470
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 852913
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0