CMS Formulary

Displaying 195771-195780 of 1611142 results.
ID: 195771
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 854228
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195772
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 854235
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195773
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 854238
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195774
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 854241
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195775
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 854248
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195776
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 854245
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195777
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 854252
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195778
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 406503
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195779
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 858262
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195780
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310023
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0