CMS Formulary

Displaying 180441-180450 of 1611142 results.
ID: 180441
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180442
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 204466
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180443
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207391
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180444
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180445
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180446
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180447
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180448
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180449
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 866924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180450
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30