CMS Formulary

Displaying 185571-185580 of 1611142 results.
ID: 185571
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185572
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185573
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 831533
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185574
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359134
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185575
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312138
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185576
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312839
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 185577
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312837
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 185578
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359127
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185579
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091341
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185580
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359124
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0