CMS Formulary

Displaying 182891-182900 of 1611142 results.
ID: 182891
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490038
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182892
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313580
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182893
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1996246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182894
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859081
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 182895
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 846192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182896
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 759697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182897
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 759481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182898
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2046376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 182899
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486691
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182900
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0