CMS Formulary

Displaying 181151-181160 of 1611142 results.
ID: 181151
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197855
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181152
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197856
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181153
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181154
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181155
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311918
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 181156
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314135
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 181157
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897722
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181158
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197942
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181159
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197941
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181160
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861007
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30