CMS Formulary

Displaying 181851-181860 of 1611142 results.
ID: 181851
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181852
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1358775
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181853
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 751884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181854
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181855
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181856
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 359385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181857
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 834768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181858
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835956
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181859
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 748859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181860
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0