CMS Formulary

Displaying 181621-181630 of 1611142 results.
ID: 181621
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 721787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181622
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181623
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860221
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181624
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181625
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351276
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181626
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349194
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181627
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349195
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181628
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349198
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181629
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403825
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181630
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0