CMS Formulary

Displaying 181121-181130 of 1611142 results.
ID: 181121
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181122
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181123
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181124
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181125
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856773
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181126
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 429503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181127
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181128
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181129
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 485023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181130
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309362
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30