CMS Formulary

Displaying 181521-181530 of 1611142 results.
ID: 181521
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 476399
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181522
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 476515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181523
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 805464
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 181524
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659927
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181525
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2046585
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181526
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403878
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 181527
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1098143
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181528
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2200174
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181529
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2200177
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181530
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2200180
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30