CMS Formulary

Displaying 184311-184320 of 1611142 results.
ID: 184311
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658637
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184312
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184313
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184314
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184315
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184316
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184317
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184318
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184319
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184320
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0