CMS Formulary

Displaying 180591-180600 of 1611142 results.
ID: 180591
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049221
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 180592
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049225
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 180593
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049214
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 180594
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180595
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091392
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180596
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180597
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180598
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897696
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 180599
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897702
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 180600
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897710
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30