CMS Formulary

Displaying 180931-180940 of 1611142 results.
ID: 180931
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892352
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 180932
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 894814
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 180933
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892554
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 180934
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 991039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180935
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 991194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180936
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 991336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180937
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 991044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180938
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 991188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180939
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 584414
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180940
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 857297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0