CMS Formulary

Displaying 181181-181190 of 1611142 results.
ID: 181181
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181182
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 808118
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181183
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181184
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181185
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181186
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797863
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 50
Qty Limit Days: 30
ID: 181187
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 213262
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181188
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181189
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 850309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181190
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0