CMS Formulary

Displaying 185311-185320 of 1611142 results.
ID: 185311
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 577154
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185312
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 198140
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185313
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 403969
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185314
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 403972
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185315
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 403970
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185316
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 403971
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185317
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185318
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185319
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251903
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185320
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 721787
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0