CMS Formulary

Displaying 182881-182890 of 1611142 results.
ID: 182881
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205305
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182882
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 409823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182883
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 849833
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182884
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892582
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 182885
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892672
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 182886
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1923822
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182887
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1923828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182888
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1923826
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182889
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490026
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182890
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0