CMS Formulary

Displaying 186531-186540 of 1611142 results.
ID: 186531
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861237
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186532
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861221
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186533
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861223
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186534
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861225
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186535
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861227
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186536
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861232
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186537
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1367436
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186538
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 647237
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 186539
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 647239
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 186540
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 198313
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0