CMS Formulary

Displaying 188381-188390 of 1611142 results.
ID: 188381
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 996594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188382
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 996603
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188383
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 996609
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188384
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966920
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188385
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 801054
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188386
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1540356
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188387
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 992475
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188388
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 995258
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188389
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297753
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188390
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297757
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0