CMS Formulary

Displaying 199671-199680 of 1611142 results.
ID: 199671
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197902
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 199672
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199673
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199674
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199675
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310812
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199676
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199677
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197653
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 199678
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199679
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199680
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 315107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0