CMS Formulary

Displaying 180511-180520 of 1611142 results.
ID: 180511
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180512
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 606726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180513
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 606730
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180514
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180515
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180516
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198323
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180517
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855942
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180518
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 618552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180519
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313366
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180520
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0