CMS Formulary

Displaying 180031-180040 of 1611142 results.
ID: 180031
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1873995
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180032
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1421456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180033
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1923054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180034
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1923056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180035
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1923058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180036
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2002719
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 180037
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2058981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180038
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2390954
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 180039
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180040
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 545293
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0