CMS Formulary

Displaying 190661-190670 of 1611142 results.
ID: 190661
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011752
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190662
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011755
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190663
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190664
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190665
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190666
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190667
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190668
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190669
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190670
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0