CMS Formulary

Displaying 186111-186120 of 1611142 results.
ID: 186111
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186112
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242611
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186113
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242613
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186114
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1663728
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186115
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242615
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186116
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 763457
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186117
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653792
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 186118
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1719766
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 186119
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667666
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 186120
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667670
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30