CMS Formulary

Displaying 194631-194640 of 1611142 results.
ID: 194631
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966205
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194632
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966251
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194633
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966218
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194634
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194635
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966185
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194636
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 212957
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194637
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 212810
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194638
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197552
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194639
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 835909
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194640
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 835911
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0