CMS Formulary

Displaying 191511-191520 of 1611142 results.
ID: 191511
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191512
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191513
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191514
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191515
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191516
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191517
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191518
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191519
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 191520
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0