CMS Formulary

Displaying 190711-190720 of 1611142 results.
ID: 190711
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 190712
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190713
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190714
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190715
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190716
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190717
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190718
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190719
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190720
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0