CMS Formulary

Displaying 181781-181790 of 1611142 results.
ID: 181781
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606866
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 181782
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2257013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181783
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606870
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 181784
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2053519
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 181785
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2166401
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 181786
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1999389
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 181787
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812470
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 181788
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1655934
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 181789
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2053512
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 181790
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904447
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1286
Qty Limit Days: 30