CMS Formulary

Displaying 185121-185130 of 1611142 results.
ID: 185121
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597990
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185122
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597984
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185123
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597993
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185124
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185125
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185126
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185127
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185128
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185129
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185130
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0