CMS Formulary

Displaying 182701-182710 of 1611142 results.
ID: 182701
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673280
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182702
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1925264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182703
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182704
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312941
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182705
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312938
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182706
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182707
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182708
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283406
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182709
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182710
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 283485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0