CMS Formulary

Displaying 180951-180960 of 1611142 results.
ID: 180951
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180952
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1233711
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180953
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854228
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 180954
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854235
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 11
Qty Limit Days: 28
ID: 180955
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854238
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 180956
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854241
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 22
Qty Limit Days: 28
ID: 180957
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854248
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 180958
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854245
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 22
Qty Limit Days: 28
ID: 180959
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854252
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 180960
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 406503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0