CMS Formulary

Displaying 180431-180440 of 1611142 results.
ID: 180431
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180432
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180433
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180434
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180435
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180436
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180437
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180438
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180439
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180440
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0