CMS Formulary

Displaying 195911-195920 of 1611142 results.
ID: 195911
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861601
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195912
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861597
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195913
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 615882
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195914
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 643070
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 195915
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 212438
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195916
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2471100
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195917
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 797697
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195918
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 212437
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195919
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1043753
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195920
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 284496
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0