CMS Formulary

Displaying 194441-194450 of 1611142 results.
ID: 194441
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194442
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000497
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194443
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000499
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194444
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000500
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194445
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000487
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194446
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1804746
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194447
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1804750
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194448
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1242404
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194449
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1242408
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194450
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 352228
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0