CMS Formulary

Displaying 187321-187330 of 1611142 results.
ID: 187321
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2105860
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 187322
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2469340
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187323
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 637188
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187324
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 795735
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187325
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 637190
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187326
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 795737
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187327
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2284104
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 187328
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1741049
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 187329
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2273115
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 187330
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 616283
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30