CMS Formulary

Displaying 183281-183290 of 1611142 results.
ID: 183281
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283509
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 183282
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283513
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 183283
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283538
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 183284
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283536
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 183285
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283540
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 183286
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2058520
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 183287
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2058525
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 183288
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 208083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183289
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2104341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183290
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2275613
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30