CMS Formulary

Displaying 183291-183300 of 1611142 results.
ID: 183291
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272118
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 183292
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272122
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 183293
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 183294
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2394947
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183295
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2199304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183296
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2199308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183297
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2199312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183298
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2199316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183299
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 483450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 183300
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 483438
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30