CMS Formulary

Displaying 190651-190660 of 1611142 results.
ID: 190651
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190652
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607796
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190653
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607792
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190654
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 577348
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 190655
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673373
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190656
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1992873
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190657
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2119706
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190658
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190659
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011712
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190660
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011715
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0