CMS Formulary

Displaying 188111-188120 of 1611142 results.
ID: 188111
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197555
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188112
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 856369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188113
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1009145
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188114
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 687043
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188115
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 577957
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188116
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000114
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188117
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 199159
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188118
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188119
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000141
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188120
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0