CMS Formulary

Displaying 184201-184210 of 1611142 results.
ID: 184201
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184202
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 790489
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184203
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 763519
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184204
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 763574
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184205
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 763589
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184206
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184207
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 311984
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184208
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 311985
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184209
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 360344
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184210
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 349477
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0