CMS Formulary

Displaying 182641-182650 of 1611142 results.
ID: 182641
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197622
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182642
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309955
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182643
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1117531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182644
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182645
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 543492
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182646
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440936
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182647
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182648
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182649
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182650
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0