CMS Formulary

Displaying 181961-181970 of 1611142 results.
ID: 181961
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181962
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181963
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313990
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181964
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198051
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181965
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312077
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181966
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312132
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181967
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313412
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181968
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313413
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181969
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314286
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181970
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313776
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30