CMS Formulary

Displaying 181711-181720 of 1611142 results.
ID: 181711
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2180336
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181712
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 615979
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 181713
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207059
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 181714
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 211140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181715
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373469
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181716
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373473
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181717
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 706831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181718
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 706827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181719
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 706829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181720
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 706825
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0