CMS Formulary

Displaying 180851-180860 of 1611142 results.
ID: 180851
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1047040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180852
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1047041
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180853
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1727569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180854
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1993222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180855
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 430551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180856
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180857
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312068
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180858
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180859
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180860
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 859867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0