CMS Formulary

Displaying 189981-189990 of 1611142 results.
ID: 189981
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189982
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189983
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189984
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189985
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189986
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189987
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189988
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189989
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189990
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0