CMS Formulary

Displaying 188531-188540 of 1611142 results.
ID: 188531
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 856364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188532
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 863636
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188533
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 863619
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188534
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 863628
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188535
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 314080
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188536
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190655
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188537
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 545236
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188538
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 706872
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188539
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 188540
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0