CMS Formulary

Displaying 186481-186490 of 1611142 results.
ID: 186481
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 722134
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186482
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186483
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186484
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186485
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186486
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186487
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 860707
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186488
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 309058
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186489
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 419849
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186490
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1800499
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0