CMS Formulary

Displaying 180371-180380 of 1611142 results.
ID: 180371
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800928
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180372
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800812
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180373
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1189640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180374
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800933
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180375
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180376
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180377
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2001321
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180378
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180379
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 402091
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180380
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1986819
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30