CMS Formulary

Displaying 211061-211070 of 1611142 results.
ID: 211061
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1010878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211062
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085741
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211063
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191302
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211064
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1370763
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 118
Qty Limit Days: 30
ID: 211065
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190357
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211066
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2180999
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211067
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716268
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211068
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1921598
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211069
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1998631
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211070
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 430902
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0