CMS Formulary

Displaying 180321-180330 of 1611142 results.
ID: 180321
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 998426
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180322
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 991233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180323
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1098608
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180324
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180325
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197445
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180326
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180327
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180328
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1001004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180329
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 903873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180330
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 903879
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30