CMS Formulary

Displaying 229051-229060 of 1611142 results.
ID: 229051
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1986331
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 229052
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1918230
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 229053
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2054269
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 229054
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 432400
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229055
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1940654
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229056
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1921081
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 229057
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1806878
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229058
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1099026
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229059
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229060
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0