CMS Formulary

Displaying 181971-181980 of 1611142 results.
ID: 181971
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313777
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181972
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313778
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 181973
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313995
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 181974
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181975
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181976
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181977
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181978
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311277
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181979
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099563
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181980
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30