CMS Formulary

Displaying 182771-182780 of 1611142 results.
ID: 182771
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182772
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898359
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182773
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898342
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182774
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182775
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 562266
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182776
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 863669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182777
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313581
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182778
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 402246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182779
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 402247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182780
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 664741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0