CMS Formulary

Displaying 180111-180120 of 1611142 results.
ID: 180111
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180112
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180113
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180114
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 598025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180115
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180116
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180117
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 617296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180118
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 757707
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180119
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403957
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180120
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 636664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0