CMS Formulary

Displaying 181341-181350 of 1611142 results.
ID: 181341
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197417
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181342
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181343
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181344
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181345
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 794979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181346
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181347
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181348
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1922720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181349
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181350
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0