CMS Formulary

Displaying 180721-180730 of 1611142 results.
ID: 180721
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180722
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180723
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180724
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180725
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180726
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180727
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180728
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180729
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180730
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404062
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0