CMS Formulary

Displaying 195541-195550 of 1611142 results.
ID: 195541
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000673
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195542
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 284254
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195543
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 207634
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195544
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197900
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195545
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197901
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195546
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197902
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195547
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195548
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311385
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195549
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195550
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310812
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0