CMS Formulary

Displaying 184091-184100 of 1611142 results.
ID: 184091
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043567
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184092
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043582
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184093
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043574
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184094
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486981
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184095
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486977
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184096
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1940498
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184097
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593831
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184098
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593833
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184099
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593835
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184100
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593775
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30