CMS Formulary

Displaying 191441-191450 of 1611142 results.
ID: 191441
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 198071
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191442
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 753478
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191443
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 753479
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191444
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1428933
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191445
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091828
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191446
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 801417
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191447
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 204520
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191448
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601982
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191449
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795252
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191450
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 244098
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0