CMS Formulary

Displaying 181311-181320 of 1611142 results.
ID: 181311
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 802749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181312
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861822
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181313
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1095712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181314
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181315
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1719286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181316
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181317
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181318
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 239240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181319
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181320
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848956
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0