CMS Formulary

Displaying 182061-182070 of 1611142 results.
ID: 182061
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182062
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 579148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182063
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 104894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182064
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861132
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182065
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182066
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182067
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200257
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 960
Qty Limit Days: 30
ID: 182068
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200256
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 480
Qty Limit Days: 30
ID: 182069
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200258
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 182070
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313582
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30