CMS Formulary

Displaying 194141-194150 of 1611142 results.
ID: 194141
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 2119706
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194142
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194143
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011712
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194144
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011715
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194145
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011752
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194146
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011755
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194147
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194148
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194149
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194150
Formulary ID: 00021082
Formulary Version: 14
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0