CMS Formulary

Displaying 181211-181220 of 1611142 results.
ID: 181211
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181212
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181213
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181214
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181215
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181216
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181217
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181218
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 242800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181219
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 312127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181220
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1721315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0