CMS Formulary

Displaying 80851-80860 of 1611142 results.
ID: 80851
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 197984
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80852
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 598006
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80853
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 197650
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80854
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091155
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 80855
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091170
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 80856
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091185
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 80857
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091210
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 80858
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 808751
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 80859
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 808753
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 80860
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 808744
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30