CMS Formulary

Displaying 199211-199220 of 1611142 results.
ID: 199211
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 706546
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 199212
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199213
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2398842
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199214
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1991311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199215
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1991317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199216
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 153095
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199217
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197590
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 199218
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197591
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 199219
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197589
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 199220
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197391
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0