CMS Formulary

Displaying 195821-195830 of 1611142 results.
ID: 195821
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1300006
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195822
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1300014
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195823
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1300016
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195824
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1547563
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195825
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1547567
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195826
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1540356
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195827
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 992475
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195828
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 995258
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195829
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1297753
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195830
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1297757
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0