CMS Formulary

Displaying 195851-195860 of 1611142 results.
ID: 195851
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197738
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195852
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311725
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195853
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311726
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195854
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 884386
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195855
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 884385
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195856
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 993770
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195857
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 993890
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195858
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 864718
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195859
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 977939
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195860
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 977942
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0