CMS Formulary

Displaying 185831-185840 of 1611142 results.
ID: 185831
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1310531
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185832
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1310535
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185833
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1547231
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185834
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2110618
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185835
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1114074
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185836
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1114096
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185837
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1247388
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185838
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1114470
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185839
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049504
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 185840
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049545
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30