CMS Formulary

Displaying 181321-181330 of 1611142 results.
ID: 181321
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1596108
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 181322
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 809871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181323
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181324
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 864661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181325
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2001424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181326
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1363408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181327
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1363410
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181328
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1364581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181329
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181330
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0