CMS Formulary

Displaying 183311-183320 of 1611142 results.
ID: 183311
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 183312
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 183313
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 183314
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183315
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183316
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183317
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183318
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183319
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183320
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0