CMS Formulary

Displaying 180531-180540 of 1611142 results.
ID: 180531
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180532
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606349
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180533
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242892
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 180534
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1149632
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 180535
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242891
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 180536
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 248478
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 180537
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180538
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180539
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966787
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180540
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966793
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30