CMS Formulary

Displaying 188801-188810 of 1611142 results.
ID: 188801
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 997223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188802
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 993503
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 188803
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 993518
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 188804
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188805
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188806
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 898690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188807
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 898719
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188808
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1100184
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188809
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 857169
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188810
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 857183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0