CMS Formulary

Displaying 227751-227760 of 1611142 results.
ID: 227751
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199450
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227752
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227753
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 227754
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227755
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227756
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227757
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227758
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227759
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227760
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0