CMS Formulary

Displaying 59891-59900 of 1611142 results.
ID: 59891
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 310537
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 59892
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 897722
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 59893
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 197942
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 59894
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 197941
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 59895
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 861007
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 59896
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 861010
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 59897
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 861004
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 75
Qty Limit Days: 30
ID: 59898
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 861731
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 59899
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 562524
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 59900
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 1652673
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0