CMS Formulary

Displaying 226951-226960 of 1611142 results.
ID: 226951
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 317573
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226952
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312440
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226953
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312441
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 226954
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199123
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226955
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 200064
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226956
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199224
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226957
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313190
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226958
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198377
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226959
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198378
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226960
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1483744
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0