CMS Formulary

Displaying 189671-189680 of 1611142 results.
ID: 189671
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 617322
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189672
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 863599
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189673
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 309686
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189674
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189675
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085745
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189676
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 992432
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189677
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000054
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189678
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189679
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 831215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189680
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 831252
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0