CMS Formulary

Displaying 183231-183240 of 1611142 results.
ID: 183231
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659929
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183232
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2058906
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183233
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1872458
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 183234
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049133
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 183235
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049121
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 183236
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1365979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183237
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1537045
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183238
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 432400
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183239
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1940654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183240
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 799040
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 30