CMS Formulary

Displaying 190581-190590 of 1611142 results.
ID: 190581
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 483446
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 190582
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312515
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190583
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 310155
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190584
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 315090
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190585
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 310157
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190586
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795598
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190587
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1366192
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 480
Qty Limit Days: 30
ID: 190588
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796922
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190589
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 311913
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190590
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744001
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0