CMS Formulary

Displaying 180341-180350 of 1611142 results.
ID: 180341
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 904593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180342
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848951
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180343
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835958
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180344
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180345
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993466
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180346
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180347
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 993462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180348
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1867547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180349
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180350
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 608934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0