CMS Formulary

Displaying 182491-182500 of 1611142 results.
ID: 182491
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182492
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 477130
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182493
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 849389
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182494
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1543177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182495
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182496
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182497
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536490
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182498
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182499
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049696
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 182500
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0