CMS Formulary

Displaying 183141-183150 of 1611142 results.
ID: 183141
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2265729
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 183142
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2265732
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 183143
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2265735
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 183144
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 877417
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183145
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1664463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183146
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1664440
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183147
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1664458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183148
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1495070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183149
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183150
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 151226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0