CMS Formulary

Displaying 191491-191500 of 1611142 results.
ID: 191491
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191492
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191493
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191494
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191495
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 801136
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191496
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191497
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191498
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191499
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191500
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0