CMS Formulary

Displaying 181491-181500 of 1611142 results.
ID: 181491
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 30
ID: 181492
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309290
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 28
ID: 181493
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181494
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 106336
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 28
ID: 181495
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191307
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181496
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 543460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181497
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181498
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 388517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181499
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1992273
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 28
ID: 181500
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855168
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0