CMS Formulary

Displaying 181561-181570 of 1611142 results.
ID: 181561
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181562
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181563
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181564
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181565
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181566
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1939299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181567
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1939348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181568
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181569
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 727316
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 181570
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1870207
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30