CMS Formulary

Displaying 187441-187450 of 1611142 results.
ID: 187441
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 746804
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 187442
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 746815
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 187443
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 746813
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 187444
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 790284
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 187445
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2196792
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 187446
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2196592
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 187447
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536144
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 187448
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536148
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 187449
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1720881
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187450
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251596
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0