CMS Formulary

Displaying 190181-190190 of 1611142 results.
ID: 190181
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190182
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190183
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190184
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190185
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190186
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 860707
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190187
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 309058
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190188
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 419849
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190189
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1800499
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190190
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 992150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0