CMS Formulary

Displaying 185871-185880 of 1611142 results.
ID: 185871
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185872
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185873
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185874
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 404450
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185875
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242233
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 185876
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 616116
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 185877
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 616114
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 185878
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 643714
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 185879
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1429367
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 185880
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 643722
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28