CMS Formulary

Displaying 195581-195590 of 1611142 results.
ID: 195581
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311893
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195582
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 199521
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195583
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 996572
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 49
Qty Limit Days: 28
ID: 195584
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198076
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195585
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198077
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195586
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198078
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195587
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195588
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313472
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195589
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198153
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195590
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 905269
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0