CMS Formulary

Displaying 181641-181650 of 1611142 results.
ID: 181641
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 577776
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181642
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181643
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181644
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181645
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181646
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 851750
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181647
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 251575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181648
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181649
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181650
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0