CMS Formulary

Displaying 182781-182790 of 1611142 results.
ID: 182781
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833528
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182782
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 722134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182783
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182784
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182785
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182786
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182787
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182788
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860707
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182789
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182790
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 419849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0