CMS Formulary

Displaying 182611-182620 of 1611142 results.
ID: 182611
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297357
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182612
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356693
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182613
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1926823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182614
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1926827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182615
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182616
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 866111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182617
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182618
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373489
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 30
ID: 182619
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373493
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182620
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373498
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 180