CMS Formulary

Displaying 193291-193300 of 1611142 results.
ID: 193291
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193292
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193293
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193294
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193295
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193296
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193297
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193298
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193299
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193300
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0