CMS Formulary

Displaying 184771-184780 of 1611142 results.
ID: 184771
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1304988
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184772
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1661092
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184773
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184774
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184775
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184776
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184777
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1537209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184778
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1487086
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184779
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1539953
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184780
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1539955
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0