CMS Formulary

Displaying 227831-227840 of 1611142 results.
ID: 227831
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 314215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227832
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227833
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 403841
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227834
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 311277
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 227835
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1099563
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227836
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 577080
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227837
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 904932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 227838
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 901546
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227839
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313758
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227840
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199655
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0