CMS Formulary

Displaying 231651-231660 of 1611142 results.
ID: 231651
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231652
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231653
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231654
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231655
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231656
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231657
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 231658
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 231659
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 231660
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28