CMS Formulary

Displaying 180331-180340 of 1611142 results.
ID: 180331
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892342
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180332
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180333
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892355
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180334
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892297
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180335
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 894942
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180336
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 894970
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 180337
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180338
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180339
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180340
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0