CMS Formulary

Displaying 198741-198750 of 1611142 results.
ID: 198741
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310180
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 198742
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198743
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198744
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198745
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198746
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1995479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198747
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198748
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351750
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198749
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 153579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198750
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 153580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0