CMS Formulary

Displaying 48241-48250 of 1611142 results.
ID: 48241
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 898350
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48242
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 898353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48243
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 898356
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48244
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 898359
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48245
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 898342
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48246
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 898346
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48247
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 863669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48248
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 313581
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 48249
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 402246
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48250
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 402247
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0