CMS Formulary

Displaying 181661-181670 of 1611142 results.
ID: 181661
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 749783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181662
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 248656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181663
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 749780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181664
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 204844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181665
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198372
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181666
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181667
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181668
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242819
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181669
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181670
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 616749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0