CMS Formulary

Displaying 228341-228350 of 1611142 results.
ID: 228341
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 859981
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 228342
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 859975
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 228343
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 283316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228344
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 283317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228345
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 477130
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228346
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 849389
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228347
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313407
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228348
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313408
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228349
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1536490
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228350
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 310878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0