CMS Formulary

Displaying 196011-196020 of 1611142 results.
ID: 196011
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1237059
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196012
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1237062
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196013
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1237066
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196014
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1237070
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196015
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1928954
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196016
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1090641
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196017
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 905222
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196018
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197855
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196019
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197856
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196020
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 897683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0