CMS Formulary

Displaying 187911-187920 of 1611142 results.
ID: 187911
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 606730
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187912
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 198324
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187913
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 198325
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187914
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 198323
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187915
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 855942
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187916
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 618552
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187917
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 313366
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187918
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000070
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187919
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536586
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187920
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 242333
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28