CMS Formulary

Displaying 180691-180700 of 1611142 results.
ID: 180691
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309844
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 180692
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 865117
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180693
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 865123
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180694
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180695
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180696
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313159
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 180697
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180698
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180699
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996740
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180700
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0