CMS Formulary

Displaying 182231-182240 of 1611142 results.
ID: 182231
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182232
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313215
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182233
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313217
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182234
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313219
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182235
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 260376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182236
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182237
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182238
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 328161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182239
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182240
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0