CMS Formulary

Displaying 227151-227160 of 1611142 results.
ID: 227151
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 859751
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227152
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 859419
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227153
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227154
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199193
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227155
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198382
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227156
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 997226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227157
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 997220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227158
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 349201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227159
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 200034
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227160
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312078
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30