CMS Formulary

Displaying 182021-182030 of 1611142 results.
ID: 182021
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182022
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 352045
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182023
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 352046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182024
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 352047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182025
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1654955
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182026
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731227
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182027
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182028
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 730046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182029
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731231
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182030
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0