CMS Formulary

Displaying 190741-190750 of 1611142 results.
ID: 190741
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 905059
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190742
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 905064
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190743
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 905057
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190744
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 198050
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190745
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 198049
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190746
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251334
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190747
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190110
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190748
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190749
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190750
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0