CMS Formulary

Displaying 189751-189760 of 1611142 results.
ID: 189751
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189752
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189753
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189754
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189755
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189756
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189757
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189758
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189759
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189760
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0