CMS Formulary

Displaying 181671-181680 of 1611142 results.
ID: 181671
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 728231
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181672
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1657212
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 181673
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1147228
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 181674
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2197873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 181675
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2197877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181676
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205532
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181677
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1592285
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 181678
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1868016
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 181679
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1868020
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 181680
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1727485
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30