CMS Formulary

Displaying 185621-185630 of 1611142 results.
ID: 185621
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 430902
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185622
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 828348
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185623
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1369831
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185624
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1304985
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185625
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1811182
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185626
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716215
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185627
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716219
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185628
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1716223
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185629
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185630
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 852920
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0