CMS Formulary

Displaying 183101-183110 of 1611142 results.
ID: 183101
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1041518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183102
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183103
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183104
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 749157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183105
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183106
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1053697
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 28
ID: 183107
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183108
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1487363
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 183109
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308725
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183110
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0