CMS Formulary

Displaying 181881-181890 of 1611142 results.
ID: 181881
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359124
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181882
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 403884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181883
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 310599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181884
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856535
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181885
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181886
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181887
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181888
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 860654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181889
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1014673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181890
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30