CMS Formulary

Displaying 180661-180670 of 1611142 results.
ID: 180661
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859983
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180662
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859979
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180663
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1307309
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 180664
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1608333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180665
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2052609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180666
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2052704
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180667
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2105817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180668
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180669
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300803
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180670
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 967388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0