CMS Formulary

Displaying 185711-185720 of 1611142 results.
ID: 185711
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185712
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185713
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185714
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185715
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185716
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185717
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966399
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185718
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185719
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185720
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0