CMS Formulary

Displaying 181981-181990 of 1611142 results.
ID: 181981
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181982
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 199655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181983
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 349208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181984
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 360110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181985
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 799055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181986
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 799056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181987
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 799054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181988
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 206913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181989
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 206917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 181990
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1657151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28