CMS Formulary

Displaying 180611-180620 of 1611142 results.
ID: 180611
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1724338
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 180612
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658637
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180613
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180614
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180615
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180616
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180617
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180618
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180619
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180620
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0