CMS Formulary

Displaying 197881-197890 of 1611142 results.
ID: 197881
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1856424
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197882
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2052064
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197883
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 849450
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 197884
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861375
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 197885
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861370
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197886
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1373745
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 197887
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1922783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197888
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 485442
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 197889
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 485465
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 197890
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1989085
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30