CMS Formulary

Displaying 225651-225660 of 1611142 results.
ID: 225651
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 894780
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 900
Qty Limit Days: 30
ID: 225652
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 997170
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 225653
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 997287
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 225654
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 997296
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 225655
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 310792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225656
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 310793
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225657
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 477234
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225658
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199519
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225659
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197624
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 225660
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1437968
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0