CMS Formulary

Displaying 183261-183270 of 1611142 results.
ID: 183261
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183262
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183263
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011752
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183264
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011755
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183265
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183266
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183267
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183268
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183269
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183270
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0