CMS Formulary

Displaying 195841-195850 of 1611142 results.
ID: 195841
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 889520
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195842
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 889614
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195843
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1483329
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195844
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1012017
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195845
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 209002
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195846
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 208420
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195847
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2055676
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195848
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2055672
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195849
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195850
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 858798
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0