CMS Formulary

Displaying 182121-182130 of 1611142 results.
ID: 182121
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182122
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182123
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182124
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182125
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182126
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182127
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182128
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182129
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182130
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2392142
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28