CMS Formulary

Displaying 60101-60110 of 1611142 results.
ID: 60101
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 997229
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 60102
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 997223
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 60103
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 993503
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 60104
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 993518
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 60105
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 60106
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 60107
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 898690
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 60108
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 898719
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 60109
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 857169
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 60110
Formulary ID: 00021021
Formulary Version: 14
Contract Year: 2021
RXCUI: 857183
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0