CMS Formulary

Displaying 229891-229900 of 1611142 results.
ID: 229891
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1593835
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 229892
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1593775
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 229893
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 847917
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 229894
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 847913
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 229895
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1990869
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 229896
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 861045
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 30
ID: 229897
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 861043
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 229898
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 206347
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229899
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1729511
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229900
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1085773
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 454
Qty Limit Days: 30