CMS Formulary

Displaying 182831-182840 of 1611142 results.
ID: 182831
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182832
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182833
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861221
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182834
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182835
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182836
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861227
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182837
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 861232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182838
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1367436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182839
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 647237
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 182840
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 647239
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30