CMS Formulary

Displaying 182431-182440 of 1611142 results.
ID: 182431
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 639888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182432
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182433
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182434
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744011
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182435
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 901614
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 182436
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1147337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182437
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1306298
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182438
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1544471
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182439
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1544475
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182440
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1591949
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28