CMS Formulary

Displaying 182111-182120 of 1611142 results.
ID: 182111
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182112
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182113
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182114
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182115
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182116
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182117
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182118
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182119
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182120
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0