CMS Formulary

Displaying 180671-180680 of 1611142 results.
ID: 180671
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 307730
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180672
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 106302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180673
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 884308
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 180674
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 106387
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180675
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308714
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 45
Qty Limit Days: 28
ID: 180676
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 755497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180677
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 630208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180678
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 245314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180679
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 485968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180680
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 991061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0