CMS Formulary

Displaying 182911-182920 of 1611142 results.
ID: 182911
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 828373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182912
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310274
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182913
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313570
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 10
ID: 182914
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313571
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 80
Qty Limit Days: 10
ID: 182915
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182916
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309048
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182917
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 105171
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182918
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 995599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182919
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 995607
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182920
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 307650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0