CMS Formulary

Displaying 195631-195640 of 1611142 results.
ID: 195631
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2359290
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195632
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2359353
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195633
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2359358
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195634
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 991082
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195635
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 702519
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195636
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314182
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195637
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 885219
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195638
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 885213
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195639
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197426
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195640
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 859315
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0