CMS Formulary

Displaying 198911-198920 of 1611142 results.
ID: 198911
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1855527
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 198912
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1921240
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 198913
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1921245
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 198914
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1726846
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 198915
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 847745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198916
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1872980
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 198917
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1747577
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198918
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1747579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198919
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1747567
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198920
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1747580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0