CMS Formulary

Displaying 184131-184140 of 1611142 results.
ID: 184131
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184132
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184133
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184134
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184135
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184136
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184137
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184138
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184139
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184140
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0