CMS Formulary

Displaying 180041-180050 of 1611142 results.
ID: 180041
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207029
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180042
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 665022
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180043
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 746804
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 180044
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 746815
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 180045
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 746813
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 180046
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 790284
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 180047
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2196792
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 180048
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2196592
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 180049
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536144
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 180050
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30