CMS Formulary

Displaying 182041-182050 of 1611142 results.
ID: 182041
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1605455
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 55
Qty Limit Days: 28
ID: 182042
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212218
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182043
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993456
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 180
ID: 182044
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1046402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182045
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182046
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182047
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2168596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182048
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045638
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 182049
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2120195
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 182050
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858125
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0