CMS Formulary

Displaying 182621-182630 of 1611142 results.
ID: 182621
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649593
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 182622
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1546189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 182623
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2261794
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 182624
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1040058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182625
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858804
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182626
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368036
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182627
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 902624
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182628
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 902626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182629
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368012
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182630
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368398
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30