CMS Formulary

Displaying 180141-180150 of 1611142 results.
ID: 180141
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 429212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180142
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309374
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180143
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180144
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 995218
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180145
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180146
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 866090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180147
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 643066
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180148
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1006801
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180149
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996921
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180150
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 721773
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0