CMS Formulary

Displaying 183341-183350 of 1611142 results.
ID: 183341
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1594673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183342
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1247381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183343
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183344
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183345
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905057
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183346
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183347
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183348
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183349
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183350
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0