CMS Formulary

Displaying 192611-192620 of 1611142 results.
ID: 192611
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192612
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192613
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192614
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192615
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192616
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192617
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192618
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192619
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192620
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1939299
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0