CMS Formulary

Displaying 180561-180570 of 1611142 results.
ID: 180561
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 603206
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180562
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180563
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751901
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180564
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 810096
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180565
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 749761
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180566
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180567
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 759743
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180568
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748806
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180569
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748804
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180570
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0