CMS Formulary

Displaying 182671-182680 of 1611142 results.
ID: 182671
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182672
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182673
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 259081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182674
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835603
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 182675
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182676
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199387
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182677
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312085
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182678
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182679
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283523
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2160
Qty Limit Days: 30
ID: 182680
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198358
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0