CMS Formulary

Displaying 195831-195840 of 1611142 results.
ID: 195831
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310992
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195832
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1049621
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195833
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2101899
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195834
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1049683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195835
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1049686
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195836
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1091150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195837
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 899557
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195838
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 899518
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195839
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 899548
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195840
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 863664
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0