CMS Formulary

Displaying 227261-227270 of 1611142 results.
ID: 227261
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 997229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227262
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 997223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227263
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 993503
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 227264
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 993518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 227265
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1423080
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227266
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227267
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227268
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 898690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227269
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 898719
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227270
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1100184
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0