CMS Formulary

Displaying 184111-184120 of 1611142 results.
ID: 184111
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1648999
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184112
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 486515
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184113
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 730782
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184114
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795470
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184115
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184116
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184117
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184118
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184119
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184120
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0