CMS Formulary

Displaying 185591-185600 of 1611142 results.
ID: 185591
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185592
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185593
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185594
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185595
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185596
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185597
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185598
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185599
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1001690
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185600
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 905394
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0