CMS Formulary

Displaying 182461-182470 of 1611142 results.
ID: 182461
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801298
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182462
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801294
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182463
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182464
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182465
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182466
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1738803
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182467
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1738805
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182468
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1738807
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182469
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897584
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182470
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0