CMS Formulary

Displaying 182511-182520 of 1611142 results.
ID: 182511
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 476345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182512
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 476349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182513
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 476350
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182514
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 476351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182515
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182516
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 763306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182517
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860975
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 182518
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182519
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182520
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0