CMS Formulary

Displaying 181231-181240 of 1611142 results.
ID: 181231
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181232
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043031
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181233
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181234
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 855858
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181235
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181236
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 884522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181237
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856980
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 390
Qty Limit Days: 30
ID: 181238
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 348472
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181239
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 282401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181240
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0