CMS Formulary

Displaying 181541-181550 of 1611142 results.
ID: 181541
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1308569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181542
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860491
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181543
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860493
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181544
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860495
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181545
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860497
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181546
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860499
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181547
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860501
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181548
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181549
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310362
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181550
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0