CMS Formulary

Displaying 83091-83100 of 1611142 results.
ID: 83091
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648772
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 83092
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 884077
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83093
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046597
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 228
Qty Limit Days: 14
ID: 83094
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989117
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 83095
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178792
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 83096
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 644304
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83097
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 861659
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83098
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 861661
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83099
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 861663
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83100
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 545278
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0