CMS Formulary

Displaying 192181-192190 of 1611142 results.
ID: 192181
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 721794
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192182
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 721796
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192183
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 895670
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192184
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192185
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197320
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192186
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197527
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192187
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197528
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192188
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197529
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192189
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 312744
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192190
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 616487
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0