CMS Formulary

Displaying 192691-192700 of 1611142 results.
ID: 192691
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 207364
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192692
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1146690
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192693
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 577776
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192694
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486687
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192695
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197797
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192696
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197726
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192697
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 851750
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192698
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192699
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 192700
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0