CMS Formulary

Displaying 183071-183080 of 1611142 results.
ID: 183071
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183072
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183073
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183074
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183075
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855480
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183076
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855474
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183077
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 749860
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183078
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198373
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 183079
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 897853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183080
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0