CMS Formulary

Displaying 225591-225600 of 1611142 results.
ID: 225591
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225592
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225593
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225594
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225595
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 882533
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225596
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225597
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 848330
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225598
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1009341
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225599
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1190955
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 225600
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1190957
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30