CMS Formulary

Displaying 188981-188990 of 1611142 results.
ID: 188981
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188982
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188983
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188984
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188985
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188986
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188987
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188988
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188989
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 188990
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0