CMS Formulary

Displaying 183321-183330 of 1611142 results.
ID: 183321
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183322
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183323
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183324
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183325
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183326
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183327
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 183328
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 183329
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 183330
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0