CMS Formulary

Displaying 183121-183130 of 1611142 results.
ID: 183121
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801957
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183122
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183123
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183124
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830877
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183125
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183126
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183127
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183128
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 245723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183129
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183130
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0