CMS Formulary

Displaying 183021-183030 of 1611142 results.
ID: 183021
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183022
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 359500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183023
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183024
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183025
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 836395
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 183026
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198116
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183027
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183028
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183029
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 656659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183030
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905158
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0