CMS Formulary

Displaying 187641-187650 of 1611142 results.
ID: 187641
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197409
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187642
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197408
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187643
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187644
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 103401
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187645
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 242736
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187646
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 706546
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187647
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860172
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 30
ID: 187648
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653198
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187649
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 977842
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187650
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 977840
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0