CMS Formulary

Displaying 201951-201960 of 1611142 results.
ID: 201951
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966607
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 201952
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 208083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201953
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2275613
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201954
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272118
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201955
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272122
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201956
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201957
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2394947
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201958
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2199304
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 201959
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2199308
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 201960
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2199312
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1