CMS Formulary

Displaying 180301-180310 of 1611142 results.
ID: 180301
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180302
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180303
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180304
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898367
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180305
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180306
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898372
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180307
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180308
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 852913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180309
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993536
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180310
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 852877
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0