CMS Formulary

Displaying 229971-229980 of 1611142 results.
ID: 229971
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 198285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229972
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 856422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229973
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 199903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229974
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 998671
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 229975
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 998675
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 229976
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 998679
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 229977
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1000048
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229978
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 876524
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229979
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 876514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229980
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 876529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0