CMS Formulary

Displaying 185891-185900 of 1611142 results.
ID: 185891
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2288412
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 185892
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2288431
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 37
Qty Limit Days: 30
ID: 185893
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 727816
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 185894
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650901
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 185895
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054995
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185896
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 809477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185897
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185898
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185899
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185900
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0