CMS Formulary

Displaying 186591-186600 of 1611142 results.
ID: 186591
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 313580
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 186592
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1996246
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186593
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 859081
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 186594
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 846192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186595
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 759697
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186596
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 759481
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186597
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2046376
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 186598
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486691
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186599
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111020
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186600
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653221
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0