CMS Formulary

Displaying 180451-180460 of 1611142 results.
ID: 180451
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197466
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 180452
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197505
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180453
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180454
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180455
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197464
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 180456
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180457
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180458
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180459
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180460
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0