CMS Formulary

Displaying 184351-184360 of 1611142 results.
ID: 184351
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 833143
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184352
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 833149
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184353
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 833146
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184354
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433250
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 184355
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433223
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184356
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433229
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184357
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433235
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184358
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433241
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184359
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606490
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 184360
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 859983
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30