CMS Formulary

Displaying 194941-194950 of 1611142 results.
ID: 194941
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194942
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 103401
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194943
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197327
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194944
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197328
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194945
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 199041
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194946
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 242736
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194947
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 706546
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194948
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 897126
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194949
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2398842
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 194950
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1991311
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0