CMS Formulary

Displaying 180541-180550 of 1611142 results.
ID: 180541
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180542
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830869
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180543
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180544
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 208327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180545
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 260350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180546
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 260351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180547
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 432401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180548
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180549
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 226552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180550
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0