CMS Formulary

Displaying 182841-182850 of 1611142 results.
ID: 182841
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198313
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182842
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182843
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833461
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 400
Qty Limit Days: 30
ID: 182844
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 352210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182845
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182846
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182847
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182848
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182849
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182850
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1361615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0