CMS Formulary

Displaying 181101-181110 of 1611142 results.
ID: 181101
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181102
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181103
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181104
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181105
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1483744
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181106
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181107
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 721791
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181108
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 721794
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181109
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 721796
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181110
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 895670
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30