CMS Formulary

Displaying 182411-182420 of 1611142 results.
ID: 182411
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182412
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182413
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242611
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182414
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242613
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182415
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1663728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182416
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182417
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 763457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182418
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653792
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182419
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1719766
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182420
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667666
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30