CMS Formulary

Displaying 199481-199490 of 1611142 results.
ID: 199481
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199482
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000091
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 199483
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 359697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199484
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310169
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199485
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 209789
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199486
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 209788
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199487
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199488
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 486148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199489
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 486152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199490
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 486146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0