CMS Formulary

Displaying 184421-184430 of 1611142 results.
ID: 184421
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184422
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197659
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184423
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184424
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184425
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184426
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184427
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184428
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184429
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 404062
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184430
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 643488
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0