CMS Formulary

Displaying 180651-180660 of 1611142 results.
ID: 180651
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833139
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180652
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833143
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180653
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180654
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833146
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180655
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433250
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 180656
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433223
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180657
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433229
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180658
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433235
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180659
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433241
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180660
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606490
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30