CMS Formulary

Displaying 182261-182270 of 1611142 results.
ID: 182261
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182262
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309332
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 182263
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197519
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 182264
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182265
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182266
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182267
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182268
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182269
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182270
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0