CMS Formulary

Displaying 182751-182760 of 1611142 results.
ID: 182751
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182752
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 562508
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182753
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 849398
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182754
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 849431
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182755
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861783
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182756
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182757
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182758
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182759
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182760
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0