CMS Formulary

Displaying 184391-184400 of 1611142 results.
ID: 184391
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 865117
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184392
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 865123
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184393
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 860918
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184394
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 859841
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184395
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 313159
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 184396
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197516
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184397
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197517
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184398
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 996740
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184399
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 311369
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184400
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1482908
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0