CMS Formulary

Displaying 226271-226280 of 1611142 results.
ID: 226271
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197505
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226272
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226273
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1298857
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226274
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197464
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 226275
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226276
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226277
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226278
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226279
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226280
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0