CMS Formulary

Displaying 231691-231700 of 1611142 results.
ID: 231691
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2044355
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231692
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2044357
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231693
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2044969
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231694
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2044967
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231695
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2044971
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231696
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998774
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 231697
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1998772
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 30
ID: 231698
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 231699
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1876609
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 231700
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0