CMS Formulary

Displaying 180231-180240 of 1611142 results.
ID: 180231
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180232
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835809
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180233
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180234
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180235
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180236
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 239191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180237
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665052
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180238
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180239
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180240
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0