CMS Formulary

Displaying 191281-191290 of 1611142 results.
ID: 191281
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 856940
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 5550
Qty Limit Days: 30
ID: 191282
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 834137
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191283
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 810002
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191284
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 809990
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191285
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 809994
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191286
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 809998
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191287
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 995156
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191288
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 308963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191289
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 317173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191290
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 308964
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0