CMS Formulary

Displaying 198921-198930 of 1611142 results.
ID: 198921
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1921017
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 198922
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1921010
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 198923
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1921468
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 198924
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 152971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198925
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2166143
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 84
ID: 198926
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2196900
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 198927
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1873087
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 198928
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1940709
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198929
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198930
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0