CMS Formulary

Displaying 190751-190760 of 1611142 results.
ID: 190751
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190752
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190753
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 242754
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190754
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190755
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190756
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1245268
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190757
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 885209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190758
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1922765
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190759
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 1922763
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190760
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 105553
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0