CMS Formulary

Displaying 193611-193620 of 1611142 results.
ID: 193611
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873765
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 193612
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 800918
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193613
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 404475
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193614
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 404476
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193615
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 856666
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193616
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 979115
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193617
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244062
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193618
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244064
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193619
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 637216
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193620
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1673274
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0