CMS Formulary

Displaying 181451-181460 of 1611142 results.
ID: 181451
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 181452
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2477272
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181453
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 795749
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 180
ID: 181454
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1809520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181455
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 239189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181456
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181457
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309072
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181458
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 863538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181459
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181460
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1608276
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30