CMS Formulary

Displaying 180411-180420 of 1611142 results.
ID: 180411
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085773
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180412
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1648999
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180413
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 486515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180414
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 730782
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180415
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180416
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180417
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180418
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180419
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180420
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0