CMS Formulary

Displaying 183351-183360 of 1611142 results.
ID: 183351
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183352
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183353
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183354
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183355
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242754
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183356
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183357
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183358
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1245268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183359
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 885209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183360
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1922765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0