CMS Formulary

Displaying 194851-194860 of 1611142 results.
ID: 194851
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 476556
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194852
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197535
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194853
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310295
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194854
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310297
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194855
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313992
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194856
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313993
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194857
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310293
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194858
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194859
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314000
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194860
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310536
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0