CMS Formulary

Displaying 154981-154990 of 1611142 results.
ID: 154981
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 154982
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 154983
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 154984
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 154985
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 154986
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 154987
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 154988
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 154989
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 154990
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 124
Qty Limit Days: 31