CMS Formulary

Displaying 185791-185800 of 1611142 results.
ID: 185791
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1551923
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185792
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1601373
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185793
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1654079
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 28
ID: 185794
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 853354
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 28
ID: 185795
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 853356
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 185796
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 848164
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 28
ID: 185797
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653144
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 28
ID: 185798
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1482814
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 185799
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653166
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 185800
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1100075
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30