CMS Formulary

Displaying 181391-181400 of 1611142 results.
ID: 181391
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1736050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181392
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1736053
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181393
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1736044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181394
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300272
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 28
ID: 181395
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1541099
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 236
Qty Limit Days: 28
ID: 181396
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2180345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 28
ID: 181397
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181398
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312846
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181399
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283858
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181400
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 562704
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0