CMS Formulary

Displaying 181191-181200 of 1611142 results.
ID: 181191
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1312627
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181192
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1150836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181193
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2118539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181194
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 864650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181195
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181196
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1375922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181197
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 863042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181198
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 204423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181199
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181200
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 314165
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0