CMS Formulary

Displaying 181571-181580 of 1611142 results.
ID: 181571
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1374574
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 28
ID: 181572
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2001430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181573
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2003255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181574
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2043464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181575
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246321
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181576
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 865208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181577
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 865212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181578
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 865216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181579
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 723827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181580
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 729201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0