CMS Formulary

Displaying 194641-194650 of 1611142 results.
ID: 194641
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 616450
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194642
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 616449
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194643
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 977436
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194644
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 977440
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194645
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 977431
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194646
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2056897
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194647
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 308972
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194648
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 866303
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194649
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 866305
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194650
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 866307
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0