CMS Formulary

Displaying 212361-212370 of 1611142 results.
ID: 212361
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382991
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 212362
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 212363
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 212364
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 212365
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 212366
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 212367
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 212368
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 212369
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 212370
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0