CMS Formulary

Displaying 195021-195030 of 1611142 results.
ID: 195021
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1922895
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195022
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1922877
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195023
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2267566
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195024
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1598826
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195025
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 998426
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195026
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 580294
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195027
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1987646
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195028
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1488047
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195029
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 284539
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195030
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 213120
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0