CMS Formulary

Displaying 180631-180640 of 1611142 results.
ID: 180631
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 727575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180632
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1040012
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180633
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1040016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180634
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653470
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180635
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1086776
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180636
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1086780
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180637
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1086786
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180638
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1307415
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180639
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1307421
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 180640
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1869699
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30