CMS Formulary

Displaying 228981-228990 of 1611142 results.
ID: 228981
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 477560
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228982
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 477562
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228983
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1373497
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 180
ID: 228984
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 403875
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228985
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 310430
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 228986
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 310459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228987
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 828320
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 228988
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 314285
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228989
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228990
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0