CMS Formulary

Displaying 181031-181040 of 1611142 results.
ID: 181031
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181032
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181033
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 602964
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181034
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 402131
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181035
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349545
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181036
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349490
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181037
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349553
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181038
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349547
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181039
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 730866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181040
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 730861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0