CMS Formulary

Displaying 182951-182960 of 1611142 results.
ID: 182951
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182952
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182953
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 853201
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 182954
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182955
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182956
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182957
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 728109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182958
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312122
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182959
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182960
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0