CMS Formulary

Displaying 182311-182320 of 1611142 results.
ID: 182311
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797865
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 34
Qty Limit Days: 30
ID: 182312
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797867
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182313
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797847
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 23
Qty Limit Days: 30
ID: 182314
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182315
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1992299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182316
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904481
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182317
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 260218
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182318
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205324
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182319
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617312
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182320
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617310
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30