CMS Formulary

Displaying 182681-182690 of 1611142 results.
ID: 182681
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182682
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1244214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182683
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197312
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182684
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 485496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182685
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 348719
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 280
Qty Limit Days: 28
ID: 182686
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2110774
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182687
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2110777
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182688
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2110780
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182689
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2110783
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182690
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2110786
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28