CMS Formulary

Displaying 181111-181120 of 1611142 results.
ID: 181111
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181112
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197320
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181113
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197527
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181114
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197528
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181115
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197529
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 181116
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312744
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181117
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 616487
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181118
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312962
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181119
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349332
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181120
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351250
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30