CMS Formulary

Displaying 187831-187840 of 1611142 results.
ID: 187831
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187832
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187833
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187834
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187835
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187836
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187837
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187838
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187839
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 187840
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 204466
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0