CMS Formulary

Displaying 182551-182560 of 1611142 results.
ID: 182551
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1988768
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182552
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1921228
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182553
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1988772
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182554
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1988786
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182555
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1723763
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 182556
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1723767
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 182557
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1723772
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 182558
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1726639
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182559
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1364362
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182560
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1364358
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30