CMS Formulary

Displaying 183181-183190 of 1611142 results.
ID: 183181
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 483442
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 183182
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 483448
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 183183
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 483446
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 183184
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183185
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310155
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183186
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 315090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183187
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183188
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183189
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1366192
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 480
Qty Limit Days: 30
ID: 183190
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0