CMS Formulary

Displaying 181871-181880 of 1611142 results.
ID: 181871
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181872
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181873
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181874
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 831533
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181875
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181876
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312138
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181877
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312839
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 181878
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312837
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 181879
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181880
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0