CMS Formulary

Displaying 194771-194780 of 1611142 results.
ID: 194771
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 855344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194772
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 242461
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194773
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 242462
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194774
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 856467
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194775
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194776
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311668
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194777
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314234
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194778
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 309115
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194779
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197454
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194780
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0