CMS Formulary

Displaying 187051-187060 of 1611142 results.
ID: 187051
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187052
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187053
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187054
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 242754
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187055
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187056
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187057
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1245268
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187058
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 885209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187059
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1922765
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187060
Formulary ID: 00021080
Formulary Version: 13
Contract Year: 2021
RXCUI: 1922763
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0