CMS Formulary

Displaying 181251-181260 of 1611142 results.
ID: 181251
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181252
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181253
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 996561
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181254
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854916
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181255
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181256
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 854908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181257
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 201708
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181258
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 248420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181259
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351172
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181260
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0