CMS Formulary

Displaying 180461-180470 of 1611142 results.
ID: 180461
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180462
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180463
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180464
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180465
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180466
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180467
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180468
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180469
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310670
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180470
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373483
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 30