CMS Formulary

Displaying 182251-182260 of 1611142 results.
ID: 182251
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607617
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182252
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182253
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182254
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182255
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182256
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182257
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1307427
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 30
ID: 182258
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182259
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182260
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0