CMS Formulary

Displaying 183091-183100 of 1611142 results.
ID: 183091
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183092
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183093
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183094
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183095
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861512
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 125
Qty Limit Days: 28
ID: 183096
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183097
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314266
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 30
ID: 183098
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 749784
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183099
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 644088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183100
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 866905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0