CMS Formulary

Displaying 189771-189780 of 1611142 results.
ID: 189771
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189772
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189773
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189774
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189775
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189776
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189777
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049223
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 189778
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049227
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 189779
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049216
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 189780
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 854801
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0