CMS Formulary

Displaying 182861-182870 of 1611142 results.
ID: 182861
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182862
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182863
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310432
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 182864
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182865
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 317174
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182866
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312745
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182867
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 616483
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182868
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312743
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182869
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 637173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182870
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312840
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28