CMS Formulary

Displaying 183581-183590 of 1611142 results.
ID: 183581
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 856724
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183582
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 856733
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183583
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 309371
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183584
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197577
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183585
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 343033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183586
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183587
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183588
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183589
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183590
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0