CMS Formulary

Displaying 223271-223280 of 1611142 results.
ID: 223271
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796091
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 223272
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796096
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 223273
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1862688
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 223274
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1862701
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 223275
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1862697
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 223276
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1862692
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 223277
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 2359285
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 223278
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 2359290
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 223279
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 2359353
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 223280
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 2359358
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30