CMS Formulary

Displaying 180481-180490 of 1611142 results.
ID: 180481
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180482
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 998671
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 180483
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 998675
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 180484
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 998679
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 180485
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000048
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180486
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 876524
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180487
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 876514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180488
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 876529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180489
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 876519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180490
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0