CMS Formulary

Displaying 185271-185280 of 1611142 results.
ID: 185271
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2001430
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185272
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2003255
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185273
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2043464
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185274
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246321
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185275
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 865208
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185276
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 865212
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185277
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 865216
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185278
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 723827
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185279
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 729201
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185280
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 729203
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0