CMS Formulary

Displaying 201671-201680 of 1611142 results.
ID: 201671
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854880
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201672
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 672149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201673
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1356074
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201674
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1486452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201675
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1422081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201676
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201677
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848180
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 201678
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 141850
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 201679
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197573
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 201680
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2123072
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0