CMS Formulary

Displaying 196301-196310 of 1611142 results.
ID: 196301
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 283858
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196302
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 562704
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196303
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 312849
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196304
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 997229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196305
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 997223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196306
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 993503
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196307
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 993518
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196308
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1423080
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196309
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196310
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0