CMS Formulary

Displaying 99941-99950 of 1611142 results.
ID: 99941
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99942
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99943
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99944
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99945
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99946
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99947
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99948
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 99949
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99950
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0