CMS Formulary

Displaying 182631-182640 of 1611142 results.
ID: 182631
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368391
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182632
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368020
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182633
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790892
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182634
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790886
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182635
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790890
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182636
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2384465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 5
Qty Limit Days: 28
ID: 182637
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1670324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182638
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1670322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182639
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737789
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182640
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309952
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0