CMS Formulary

Displaying 182401-182410 of 1611142 results.
ID: 182401
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313415
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182402
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1006120
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182403
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2260709
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182404
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182405
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309045
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182406
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182407
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182408
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182409
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182410
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0