CMS Formulary

Displaying 182481-182490 of 1611142 results.
ID: 182481
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182482
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182483
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182484
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205323
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182485
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182486
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403854
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182487
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403855
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182488
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182489
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859975
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182490
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0