CMS Formulary

Displaying 182141-182150 of 1611142 results.
ID: 182141
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049545
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182142
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049565
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182143
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049576
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182144
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049586
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182145
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049595
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182146
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049601
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182147
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182148
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182149
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 849831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182150
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30