CMS Formulary

Displaying 229771-229780 of 1611142 results.
ID: 229771
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 597852
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229772
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 597850
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229773
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 310273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229774
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 284245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229775
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 835886
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229776
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 866049
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 229777
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 759473
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 180
ID: 229778
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 859088
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 30
ID: 229779
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 896185
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 229780
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 896212
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30