CMS Formulary

Displaying 186051-186060 of 1611142 results.
ID: 186051
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 836307
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186052
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186053
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186054
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186055
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186056
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186057
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186058
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186059
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186060
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0