CMS Formulary

Displaying 189591-189600 of 1611142 results.
ID: 189591
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2288431
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 37
Qty Limit Days: 30
ID: 189592
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 727816
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 189593
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650901
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 189594
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054995
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189595
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 809477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189596
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189597
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189598
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189599
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189600
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 205918
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0