CMS Formulary

Displaying 184341-184350 of 1611142 results.
ID: 184341
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1602588
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184342
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1805422
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184343
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1602594
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184344
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1858971
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184345
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 751620
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184346
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 751623
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184347
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 751616
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184348
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 827075
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184349
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 833151
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 55
Qty Limit Days: 30
ID: 184350
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 833139
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30