CMS Formulary

Displaying 89431-89440 of 1611142 results.
ID: 89431
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 643022
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 89432
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 866482
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 89433
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 866479
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 89434
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 349401
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 89435
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 349405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 89436
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 205322
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 89437
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 205323
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 89438
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 403853
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 89439
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 403854
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 89440
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 403855
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0