CMS Formulary

Displaying 187271-187280 of 1611142 results.
ID: 187271
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797907
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 30
ID: 187272
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197730
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187273
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197731
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187274
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 756059
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187275
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 311376
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 187276
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 864761
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1200
Qty Limit Days: 30
ID: 187277
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 864769
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 600
Qty Limit Days: 30
ID: 187278
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 205301
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187279
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 315187
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187280
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 856724
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0