CMS Formulary

Displaying 183251-183260 of 1611142 results.
ID: 183251
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183252
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183253
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183254
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607796
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183255
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183256
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577348
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 183257
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183258
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1992873
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183259
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2119706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183260
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0