CMS Formulary

Displaying 181061-181070 of 1611142 results.
ID: 181061
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 615882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181062
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 643070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181063
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181064
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181065
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 284496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181066
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181067
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855926
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181068
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855906
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181069
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181070
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 995281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0