CMS Formulary

Displaying 185351-185360 of 1611142 results.
ID: 185351
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185352
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185353
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185354
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185355
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185356
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185357
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185358
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 856377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185359
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 308460
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185360
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 749783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0