CMS Formulary

Displaying 228001-228010 of 1611142 results.
ID: 228001
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 849835
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 228002
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998457
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228003
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998463
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228004
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998453
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228005
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998455
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228006
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998459
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228007
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998461
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228008
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228009
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1658329
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 228010
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1658333
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30