CMS Formulary

Displaying 182921-182930 of 1611142 results.
ID: 182921
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 616402
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182922
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182923
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182924
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182925
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835591
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182926
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835577
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182927
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312940
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182928
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182929
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182930
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0