CMS Formulary

Displaying 195811-195820 of 1611142 results.
ID: 195811
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 996603
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 195812
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 996609
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 195813
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966920
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195814
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 801054
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195815
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2262731
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195816
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2262713
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195817
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2262719
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195818
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2262727
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195819
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 206548
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195820
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1299203
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0