CMS Formulary

Displaying 182561-182570 of 1611142 results.
ID: 182561
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2473042
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182562
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049271
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182563
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049278
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182564
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 483427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182565
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 483425
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182566
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182567
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182568
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 284215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182569
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658221
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182570
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 544840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0