CMS Formulary

Displaying 189041-189050 of 1611142 results.
ID: 189041
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197797
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189042
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197726
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189043
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653217
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189044
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 851750
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189045
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 251575
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189046
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189047
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189048
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189049
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189050
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0