CMS Formulary

Displaying 195491-195500 of 1611142 results.
ID: 195491
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197659
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195492
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195493
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195494
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195495
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195496
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195497
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195498
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 404062
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195499
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 643488
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195500
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 404065
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0