CMS Formulary

Displaying 186941-186950 of 1611142 results.
ID: 186941
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1866047
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186942
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099026
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186943
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099269
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186944
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1006065
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186945
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186946
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186947
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1369737
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186948
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722676
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186949
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1369770
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 186950
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0