CMS Formulary

Displaying 180051-180060 of 1611142 results.
ID: 180051
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1720881
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180052
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180053
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207035
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180054
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246313
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 180055
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246310
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 180056
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 261101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180057
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180058
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 285018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180059
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 803194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180060
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0