CMS Formulary

Displaying 188471-188480 of 1611142 results.
ID: 188471
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1661092
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188472
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188473
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188474
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188475
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188476
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1537209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188477
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1487086
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188478
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1539953
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188479
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1539955
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188480
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1605086
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0