CMS Formulary

Displaying 188571-188580 of 1611142 results.
ID: 188571
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188572
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188573
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188574
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188575
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188576
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188577
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188578
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188579
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188580
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 808118
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0