CMS Formulary

Displaying 181431-181440 of 1611142 results.
ID: 181431
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181432
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181433
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181434
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181435
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181436
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 252478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181437
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 103968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181438
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 252479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181439
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 248642
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181440
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1010600
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30