CMS Formulary

Displaying 182171-182180 of 1611142 results.
ID: 182171
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182172
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182173
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182174
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182175
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404450
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182176
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242233
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 182177
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 616116
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 182178
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 616114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 182179
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 643714
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 182180
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1429367
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28