CMS Formulary

Displaying 190341-190350 of 1611142 results.
ID: 190341
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190342
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190343
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190344
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190345
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190346
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190347
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190348
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190349
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190350
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0