CMS Formulary

Displaying 201881-201890 of 1611142 results.
ID: 201881
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201882
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201883
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1092357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201884
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1798370
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201885
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1798375
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201886
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200132
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 1
ID: 201887
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 1
ID: 201888
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199150
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 1
ID: 201889
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311915
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201890
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1867544
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0