CMS Formulary

Displaying 226941-226950 of 1611142 results.
ID: 226941
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 866436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226942
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 855633
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1000
Qty Limit Days: 30
ID: 226943
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1607784
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226944
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199245
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 226945
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199246
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 226946
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199247
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 226947
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 314231
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226948
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226949
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198211
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226950
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 200060
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0