CMS Formulary

Displaying 181361-181370 of 1611142 results.
ID: 181361
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 891888
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181362
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 891893
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181363
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 891874
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181364
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892646
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181365
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181366
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848738
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181367
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848742
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181368
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848746
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181369
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848750
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181370
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848730
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30