CMS Formulary

Displaying 195351-195360 of 1611142 results.
ID: 195351
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1049618
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195352
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 884535
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195353
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 884532
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195354
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 245136
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195355
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 245134
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195356
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 245135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195357
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197696
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195358
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198243
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195359
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1870650
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195360
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 829762
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0