CMS Formulary

Displaying 190701-190710 of 1611142 results.
ID: 190701
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178403
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190702
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178405
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190703
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382990
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190704
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178407
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190705
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178409
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190706
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382991
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190707
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190708
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 190709
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 190710
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30