CMS Formulary

Displaying 182981-182990 of 1611142 results.
ID: 182981
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1427300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182982
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182983
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1599949
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 182984
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848180
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182985
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123072
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 17
Qty Limit Days: 30
ID: 182986
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182987
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182988
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182989
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 646456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182990
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0