CMS Formulary

Displaying 195051-195060 of 1611142 results.
ID: 195051
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 892342
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195052
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 892349
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195053
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 892355
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195054
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 892297
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195055
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 894942
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195056
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 894970
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195057
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 351264
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195058
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 485413
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195059
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 485415
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195060
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 485414
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0