CMS Formulary

Displaying 180581-180590 of 1611142 results.
ID: 180581
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 486152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180582
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 486146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180583
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577057
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 180584
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 886634
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 28
ID: 180585
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1437702
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180586
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 211343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180587
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857002
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 180588
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857005
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 180589
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856999
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 180590
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993781
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30