CMS Formulary

Displaying 189311-189320 of 1611142 results.
ID: 189311
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1010878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189312
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085741
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189313
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191302
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189314
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1370763
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 118
Qty Limit Days: 30
ID: 189315
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190357
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189316
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2180999
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189317
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716268
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189318
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1921598
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189319
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1998631
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189320
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 430902
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0