CMS Formulary

Displaying 185971-185980 of 1611142 results.
ID: 185971
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 544455
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185972
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 617322
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185973
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 863599
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185974
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 309686
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185975
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185976
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085745
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185977
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 992432
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185978
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000054
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185979
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 185980
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 831215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0