CMS Formulary

Displaying 182291-182300 of 1611142 results.
ID: 182291
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197628
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182292
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182293
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182294
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 328160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182295
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310490
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 182296
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310488
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 182297
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182298
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993691
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182299
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 903887
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182300
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 903891
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30