CMS Formulary

Displaying 219991-220000 of 1611142 results.
ID: 219991
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665005
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219992
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 311683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219993
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 727575
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219994
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040012
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219995
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040016
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219996
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653470
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 219997
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1086776
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 219998
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1086780
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 219999
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1086786
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 220000
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1307415
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30