CMS Formulary

Displaying 181941-181950 of 1611142 results.
ID: 181941
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 998685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181942
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 206791
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181943
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 580286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181944
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2107351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181945
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2107355
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181946
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597570
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181947
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1864414
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181948
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1431083
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181949
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1666385
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181950
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1431104
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30