CMS Formulary

Displaying 180641-180650 of 1611142 results.
ID: 180641
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1805427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180642
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1602588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180643
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1805422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180644
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1602594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180645
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1858971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180646
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751620
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180647
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180648
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751616
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180649
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 827075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180650
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 833151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 55
Qty Limit Days: 30