CMS Formulary

Displaying 188541-188550 of 1611142 results.
ID: 188541
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 308345
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188542
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197636
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188543
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 260243
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188544
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312641
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188545
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1312625
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188546
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 884526
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188547
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1090641
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188548
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 905222
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188549
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197855
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188550
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197856
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0