CMS Formulary

Displaying 181481-181490 of 1611142 results.
ID: 181481
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 151030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181482
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 977990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181483
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 977978
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181484
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309289
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 28
ID: 181485
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181486
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1235049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181487
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 705129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181488
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597120
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 37
Qty Limit Days: 30
ID: 181489
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 181490
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0