CMS Formulary

Displaying 181551-181560 of 1611142 results.
ID: 181551
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1435115
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 181552
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181553
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1244205
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181554
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181555
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181556
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181557
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181558
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181559
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181560
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0