CMS Formulary

Displaying 182341-182350 of 1611142 results.
ID: 182341
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182342
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182343
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1235150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182344
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1235157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182345
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310467
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 30
ID: 182346
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 992395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182347
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 607295
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182348
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182349
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182350
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 745462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0