CMS Formulary

Displaying 188121-188130 of 1611142 results.
ID: 188121
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197659
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188122
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188123
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188124
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188125
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188126
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188127
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188128
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 404062
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188129
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 643488
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188130
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 751868
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0