CMS Formulary

Displaying 182191-182200 of 1611142 results.
ID: 182191
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2288433
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 7
Qty Limit Days: 30
ID: 182192
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2288412
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182193
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2288431
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 37
Qty Limit Days: 30
ID: 182194
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 727816
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 182195
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650901
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 182196
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054995
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182197
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 809477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182198
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182199
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182200
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0