CMS Formulary

Displaying 184551-184560 of 1611142 results.
ID: 184551
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1047041
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184552
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1727569
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184553
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1993222
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184554
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 430551
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184555
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 403920
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184556
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312068
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184557
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184558
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184559
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 859867
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184560
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 198159
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0