CMS Formulary

Displaying 181131-181140 of 1611142 results.
ID: 181131
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181132
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 485020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181133
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181134
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 863636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181135
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 863619
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181136
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 863628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181137
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181138
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181139
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 545236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181140
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 706872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0