CMS Formulary

Displaying 194021-194030 of 1611142 results.
ID: 194021
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 830795
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194022
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 831359
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194023
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 313453
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194024
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 359050
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194025
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 801957
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194026
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 830877
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194027
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 830879
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194028
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 830882
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194029
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 830897
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194030
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 200220
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0