CMS Formulary

Displaying 184651-184660 of 1611142 results.
ID: 184651
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1233711
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184652
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 854228
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 184653
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 854235
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 11
Qty Limit Days: 28
ID: 184654
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 854238
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 184655
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 854241
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 22
Qty Limit Days: 28
ID: 184656
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 854248
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 184657
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 854245
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 22
Qty Limit Days: 28
ID: 184658
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 854252
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 184659
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 406503
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184660
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 858262
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0