CMS Formulary

Displaying 181951-181960 of 1611142 results.
ID: 181951
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597575
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181952
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1313785
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181953
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181954
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 213510
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181955
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433736
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 28
ID: 181956
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181957
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181958
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181959
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181960
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0