CMS Formulary

Displaying 195071-195080 of 1611142 results.
ID: 195071
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 993462
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195072
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1867547
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195073
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2047868
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195074
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1738581
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 195075
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1494778
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195076
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1494781
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195077
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1494775
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195078
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1494766
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195079
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1494771
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195080
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 834350
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0