CMS Formulary

Displaying 180981-180990 of 1611142 results.
ID: 180981
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180982
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180983
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180984
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996603
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180985
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180986
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 966920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180987
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 801054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180988
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1540356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180989
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 992475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180990
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 995258
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0