CMS Formulary

Displaying 182421-182430 of 1611142 results.
ID: 182421
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667670
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182422
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667674
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182423
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667678
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182424
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1741747
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 7
Qty Limit Days: 30
ID: 182425
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182426
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182427
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182428
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182429
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404587
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182430
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 616148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0