CMS Formulary

Displaying 183171-183180 of 1611142 results.
ID: 183171
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183172
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183173
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183174
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310431
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 183175
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 702306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183176
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1731020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183177
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751563
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183178
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 753451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183179
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183180
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 728113
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0