CMS Formulary

Displaying 229191-229200 of 1611142 results.
ID: 229191
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1946844
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 229192
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2180671
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229193
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1946848
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 229194
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 207834
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229195
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1718936
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229196
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1736863
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 229197
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 229198
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 729234
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229199
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 582971
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229200
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 582976
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0