CMS Formulary

Displaying 194521-194530 of 1611142 results.
ID: 194521
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1047508
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194522
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 213729
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194523
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 213272
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194524
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 206792
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194525
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 207850
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194526
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 207100
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194527
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 208821
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194528
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1011080
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194529
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 213307
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194530
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 211020
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0