CMS Formulary

Displaying 195921-195930 of 1611142 results.
ID: 195921
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197848
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195922
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 855926
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195923
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 855906
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195924
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 855664
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195925
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 995281
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195926
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1095227
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195927
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1304988
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195928
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1661092
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195929
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195930
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0