CMS Formulary

Displaying 188651-188660 of 1611142 results.
ID: 188651
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 996561
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188652
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 854916
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188653
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 854919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188654
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 854908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188655
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 201708
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188656
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 248420
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188657
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 351172
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188658
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 199422
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188659
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 200082
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188660
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 199663
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0