CMS Formulary

Displaying 194981-194990 of 1611142 results.
ID: 194981
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 261242
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194982
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1487528
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 194983
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1539885
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 194984
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1547660
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 194985
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1547672
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 194986
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1720606
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194987
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1648789
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 194988
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1945048
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 194989
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2045382
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 194990
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2109239
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0