CMS Formulary

Displaying 181911-181920 of 1611142 results.
ID: 181911
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181912
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1543069
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 30
ID: 181913
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1010878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181914
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181915
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181916
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1370763
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 118
Qty Limit Days: 30
ID: 181917
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181918
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2180999
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181919
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181920
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1921598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0