CMS Formulary

Displaying 180621-180630 of 1611142 results.
ID: 180621
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180622
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180623
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180624
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180625
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180626
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180627
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180628
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309092
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180629
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180630
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0