CMS Formulary

Displaying 181001-181010 of 1611142 results.
ID: 181001
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2055676
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181002
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2055672
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181003
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181004
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858798
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 50
Qty Limit Days: 30
ID: 181005
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197738
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181006
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311725
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181007
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181008
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993770
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 181009
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993890
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 181010
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 864718
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30