CMS Formulary

Displaying 182281-182290 of 1611142 results.
ID: 182281
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 831215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182282
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 831252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182283
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 831285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182284
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182285
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182286
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182287
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182288
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197625
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182289
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197626
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182290
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197627
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30