CMS Formulary

Displaying 187941-187950 of 1611142 results.
ID: 187941
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187942
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 208327
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187943
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 260350
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187944
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 260351
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187945
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 432401
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187946
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000058
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187947
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 226552
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187948
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 748878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187949
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1918042
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 187950
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111641
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30