CMS Formulary

Displaying 182961-182970 of 1611142 results.
ID: 182961
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182962
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 826612
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182963
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182964
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182965
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182966
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848151
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182967
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182968
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 672149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 182969
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 477347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182970
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 642452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0