CMS Formulary

Displaying 182051-182060 of 1611142 results.
ID: 182051
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182052
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197699
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182053
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197700
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182054
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 596926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182055
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 596930
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182056
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 596934
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182057
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182058
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182059
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182060
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0