CMS Formulary

Displaying 182651-182660 of 1611142 results.
ID: 182651
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205290
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182652
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 315134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182653
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1992303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182654
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 427163
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182655
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313123
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182656
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2399892
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182657
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2399895
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182658
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2399898
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182659
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2399901
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 182660
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0