CMS Formulary

Displaying 183271-183280 of 1611142 results.
ID: 183271
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183272
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183273
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183274
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183275
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2059189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183276
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183277
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 183278
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283505
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 183279
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283515
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 183280
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28