CMS Formulary

Displaying 192551-192560 of 1611142 results.
ID: 192551
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 895990
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192552
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 313852
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192553
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 106336
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192554
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191307
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192555
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 543460
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192556
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197574
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192557
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197575
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192558
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 358917
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192559
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 309333
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192560
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 388517
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0