CMS Formulary

Displaying 186291-186300 of 1611142 results.
ID: 186291
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186292
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861379
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186293
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 861383
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186294
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1743549
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186295
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186296
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 581531
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186297
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371050
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186298
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371054
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186299
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371058
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186300
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371062
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0