CMS Formulary

Displaying 188601-188610 of 1611142 results.
ID: 188601
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188602
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188603
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188604
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188605
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188606
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 206075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188607
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188608
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188609
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188610
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0