CMS Formulary

Displaying 195931-195940 of 1611142 results.
ID: 195931
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195932
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195933
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1537209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195934
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1487086
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195935
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1539953
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195936
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1539955
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195937
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1605086
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195938
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 904419
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 195939
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 866436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195940
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 855633
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0