CMS Formulary

Displaying 180021-180030 of 1611142 results.
ID: 180021
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1919094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180022
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2169314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180023
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2169322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180024
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2362240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180025
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2169320
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180026
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2362244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180027
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1365866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180028
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1656351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180029
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1873991
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180030
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1873993
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0