CMS Formulary

Displaying 181201-181210 of 1611142 results.
ID: 181201
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 226343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181202
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181203
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181204
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181205
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181206
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181207
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181208
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 206075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181209
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181210
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0