CMS Formulary

Displaying 181421-181430 of 1611142 results.
ID: 181421
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404011
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181422
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597990
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181423
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597984
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181424
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181425
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181426
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181427
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181428
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181429
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 181430
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30