CMS Formulary

Displaying 226351-226360 of 1611142 results.
ID: 226351
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1606349
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226352
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 242892
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 226353
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1149632
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 226354
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 242891
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 226355
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 248478
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 226356
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198296
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226357
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1000097
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226358
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 830865
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226359
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 830869
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226360
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0