CMS Formulary

Displaying 180351-180360 of 1611142 results.
ID: 180351
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180352
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 832718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180353
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180354
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 832731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180355
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801295
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180356
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123111
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 180357
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180358
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197541
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180359
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 753478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180360
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 753479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0