CMS Formulary

Displaying 200691-200700 of 1611142 results.
ID: 200691
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1806177
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 200692
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1806185
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 200693
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2468058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200694
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2471314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200695
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200696
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 831533
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200697
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1359134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200698
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312138
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200699
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1359127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200700
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0