CMS Formulary

Displaying 180191-180200 of 1611142 results.
ID: 180191
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 828379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180192
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180193
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180194
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180195
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180196
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180197
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180198
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 239239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180199
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180200
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 903857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0