CMS Formulary

Displaying 183931-183940 of 1611142 results.
ID: 183931
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 835809
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183932
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649988
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183933
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 308189
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183934
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 313797
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183935
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 239191
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183936
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665052
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183937
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665444
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183938
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665449
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183939
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 313920
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183940
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 106258
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0