CMS Formulary

Displaying 180311-180320 of 1611142 results.
ID: 180311
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180312
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197978
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180313
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246306
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 180314
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246290
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 180315
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1666334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180316
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180317
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966524
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 180318
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966529
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 180319
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297660
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180320
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297763
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30