CMS Formulary

Displaying 196031-196040 of 1611142 results.
ID: 196031
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196032
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 562524
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196033
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1652673
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196034
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1649429
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196035
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196036
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1650444
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196037
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 406524
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196038
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 434018
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196039
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 799048
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196040
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0