CMS Formulary

Displaying 183201-183210 of 1611142 results.
ID: 183201
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183202
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183203
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183204
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183205
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183206
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197682
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183207
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 866910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183208
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183209
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198037
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183210
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1092357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0