CMS Formulary

Displaying 184271-184280 of 1611142 results.
ID: 184271
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 310405
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184272
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000091
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 45
Qty Limit Days: 30
ID: 184273
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000093
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 45
Qty Limit Days: 30
ID: 184274
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 359697
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184275
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 310169
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184276
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 209789
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184277
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 209788
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184278
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861657
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184279
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 486148
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184280
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 486152
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0