CMS Formulary

Displaying 202161-202170 of 1611142 results.
ID: 202161
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310173
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 202162
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1149645
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 202163
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310180
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 202164
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595462
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202165
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202166
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595478
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202167
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202168
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1995479
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202169
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1595457
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202170
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 351750
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0