CMS Formulary

Displaying 181891-181900 of 1611142 results.
ID: 181891
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181892
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181893
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181894
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181895
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181896
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181897
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181898
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181899
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181900
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1001690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0