CMS Formulary

Displaying 118181-118190 of 1611142 results.
ID: 118181
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 198200
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118182
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 349514
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 118183
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 351256
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118184
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 351257
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118185
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 310261
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118186
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 308459
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118187
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118188
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 198317
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 118189
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 198318
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 118190
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000126
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84