CMS Formulary

Displaying 180751-180760 of 1611142 results.
ID: 180751
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 898362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180752
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180753
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 977880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180754
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180755
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180756
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180757
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 261178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180758
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313941
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 45
Qty Limit Days: 28
ID: 180759
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180760
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 106303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0