CMS Formulary

Displaying 191981-191990 of 1611142 results.
ID: 191981
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 403850
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191982
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191983
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191984
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191985
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 403852
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191986
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 730988
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191987
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 349556
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 191988
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 240741
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191989
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 309322
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191990
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 476576
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0