CMS Formulary

Displaying 182931-182940 of 1611142 results.
ID: 182931
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197453
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182932
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182933
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309113
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182934
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182935
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197903
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182936
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197904
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182937
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197905
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182938
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182939
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182940
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0