CMS Formulary

Displaying 184991-185000 of 1611142 results.
ID: 184991
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 997226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184992
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 997220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184993
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 349201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184994
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 200034
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184995
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312078
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184996
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 314154
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184997
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 283639
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 184998
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 200284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184999
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312076
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185000
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 351108
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30