CMS Formulary

Displaying 182031-182040 of 1611142 results.
ID: 182031
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182032
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182033
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1605172
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182034
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 352262
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182035
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182036
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182037
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1492746
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182038
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205923
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182039
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205921
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182040
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205912
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0