CMS Formulary

Displaying 185861-185870 of 1611142 results.
ID: 185861
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797921
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 185862
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716079
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185863
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716063
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185864
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716067
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185865
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716071
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185866
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716075
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185867
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716083
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185868
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716090
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 185869
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1876609
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185870
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0