CMS Formulary

Displaying 194361-194370 of 1611142 results.
ID: 194361
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 351989
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194362
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 404432
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194363
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1441740
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194364
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 835721
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194365
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 207136
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194366
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 206417
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194367
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000158
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194368
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1046920
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194369
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1797888
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194370
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0