CMS Formulary

Displaying 204851-204860 of 1611142 results.
ID: 204851
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099569
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204852
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1244214
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204853
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197312
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 14
ID: 204854
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 485496
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204855
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 348719
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204856
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2110774
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 204857
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2110777
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 204858
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2110780
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 204859
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2110783
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 204860
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2110786
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28