CMS Formulary

Displaying 181261-181270 of 1611142 results.
ID: 181261
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200082
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181262
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199663
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181263
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905199
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181264
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181265
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181266
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181267
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197889
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181268
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181269
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181270
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309313
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0