CMS Formulary

Displaying 181381-181390 of 1611142 results.
ID: 181381
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856992
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 390
Qty Limit Days: 30
ID: 181382
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181383
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091389
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181384
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181385
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181386
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 608623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181387
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 608624
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181388
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197702
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181389
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049615
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 181390
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1736047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0