CMS Formulary

Displaying 230341-230350 of 1611142 results.
ID: 230341
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1664328
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 230342
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1664325
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 230343
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1602115
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 230344
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1546083
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 230345
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1796091
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 230346
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1796096
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 230347
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1862688
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 230348
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1862701
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 230349
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1862697
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 230350
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1862692
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30