CMS Formulary

Displaying 180421-180430 of 1611142 results.
ID: 180421
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180422
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180423
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180424
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180425
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180426
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1863973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180427
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 630796
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180428
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180429
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 615099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180430
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0