CMS Formulary

Displaying 181221-181230 of 1611142 results.
ID: 181221
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1721314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181222
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1361574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181223
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181224
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200193
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 181225
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 200194
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 181226
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 317094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181227
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349435
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181228
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181229
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1013930
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181230
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0