CMS Formulary

Displaying 199791-199800 of 1611142 results.
ID: 199791
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199792
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403811
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199793
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1806195
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199794
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1806179
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199795
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1806183
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199796
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199797
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 899461
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199798
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 899485
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199799
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1101926
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199800
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 899495
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30