CMS Formulary

Displaying 186071-186080 of 1611142 results.
ID: 186071
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186072
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186073
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186074
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186075
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186076
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186077
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186078
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049223
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 186079
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049227
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 186080
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049216
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30