CMS Formulary

Displaying 184901-184910 of 1611142 results.
ID: 184901
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184902
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184903
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184904
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184905
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184906
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184907
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 206075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184908
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184909
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 184910
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0