CMS Formulary

Displaying 180501-180510 of 1611142 results.
ID: 180501
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180502
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180503
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 790489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180504
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 763519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180505
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 763574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180506
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 763589
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180507
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180508
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180509
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180510
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 360344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0