CMS Formulary

Displaying 181631-181640 of 1611142 results.
ID: 181631
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181632
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 250820
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181633
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858751
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181634
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 858733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181635
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181636
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801279
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181637
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181638
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181639
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 207364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181640
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1146690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0