CMS Formulary

Displaying 180131-180140 of 1611142 results.
ID: 180131
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800915
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180132
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904870
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 180133
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904876
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 180134
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1314763
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 28
ID: 180135
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180136
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180137
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180138
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180139
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180140
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0