CMS Formulary

Displaying 202061-202070 of 1611142 results.
ID: 202061
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 202062
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1926331
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202063
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202064
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 847252
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202065
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202066
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1435117
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202067
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202068
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202069
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202070
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0