CMS Formulary

Displaying 181441-181450 of 1611142 results.
ID: 181441
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1307056
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181442
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1010604
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181443
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181444
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181445
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181446
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 401938
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181447
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 758032
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 181448
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 758027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 181449
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 180
ID: 181450
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28