CMS Formulary

Displaying 189991-190000 of 1611142 results.
ID: 189991
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 861379
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189992
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 861383
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189993
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1743549
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189994
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189995
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 581531
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189996
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371050
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189997
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371054
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189998
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371058
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 189999
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371062
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190000
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371066
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0