CMS Formulary

Displaying 196981-196990 of 1611142 results.
ID: 196981
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313995
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 196982
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 994005
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 196983
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314214
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 196984
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 312835
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 196985
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314215
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 196986
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 312836
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 196987
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 403841
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 196988
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311277
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 196989
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1099563
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196990
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 577080
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30