CMS Formulary

Displaying 182361-182370 of 1611142 results.
ID: 182361
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182362
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182363
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182364
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182365
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182366
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182367
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 476872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182368
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182369
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182370
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0