CMS Formulary

Displaying 181041-181050 of 1611142 results.
ID: 181041
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 730872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181042
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181043
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 900164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181044
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 850091
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181045
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 850087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181046
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181047
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181048
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181049
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 598006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181050
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0