CMS Formulary

Displaying 182581-182590 of 1611142 results.
ID: 182581
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182582
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182583
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182584
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182585
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182586
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182587
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182588
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182589
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182590
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0