CMS Formulary

Displaying 182271-182280 of 1611142 results.
ID: 182271
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197980
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182272
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 544455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182273
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182274
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 863599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182275
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182276
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182277
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182278
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 992432
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182279
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182280
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0