CMS Formulary

Displaying 181751-181760 of 1611142 results.
ID: 181751
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251914
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181752
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 722256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181753
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181754
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 724142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181755
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 724156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181756
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181757
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1739788
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181758
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1149617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181759
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 213197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181760
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 997010
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0