CMS Formulary

Displaying 226331-226340 of 1611142 results.
ID: 226331
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 606726
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226332
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 606730
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226333
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198324
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226334
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198325
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226335
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198323
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226336
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 855942
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226337
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 618552
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226338
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313366
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226339
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1000070
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226340
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1536586
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0