CMS Formulary

Displaying 182331-182340 of 1611142 results.
ID: 182331
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314155
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182332
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351107
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182333
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859193
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182334
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 686379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182335
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182336
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855812
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182337
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182338
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665093
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182339
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182340
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0