CMS Formulary

Displaying 181721-181730 of 1611142 results.
ID: 181721
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1545166
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181722
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1545163
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181723
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1545159
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181724
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1545156
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181725
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858074
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181726
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858051
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181727
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858057
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181728
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181729
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858053
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181730
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2059017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0