CMS Formulary

Displaying 182321-182330 of 1611142 results.
ID: 182321
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617311
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182322
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 485486
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182323
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 485485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182324
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 485484
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182325
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182326
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 259255
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182327
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905028
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 182328
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905024
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 182329
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182330
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0