CMS Formulary

Displaying 192671-192680 of 1611142 results.
ID: 192671
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192672
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 721787
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192673
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 860215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192674
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 860221
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192675
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 198056
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192676
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 351276
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192677
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 728207
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192678
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 349194
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192679
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 349195
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192680
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 349198
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0