CMS Formulary

Displaying 180361-180370 of 1611142 results.
ID: 180361
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1428933
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180362
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180363
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180364
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180365
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180366
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 204520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180367
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1601982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180368
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180369
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 244098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180370
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 245220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0