CMS Formulary

Displaying 180961-180970 of 1611142 results.
ID: 180961
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858262
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180962
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180963
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180964
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197549
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180965
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180966
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2102717
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180967
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2102713
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180968
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2102715
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180969
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1314768
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 28
ID: 180970
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 211777
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0