CMS Formulary

Displaying 193301-193310 of 1611142 results.
ID: 193301
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193302
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193303
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193304
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193305
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 476872
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193306
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193307
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193308
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193309
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 193310
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0