CMS Formulary

Displaying 196391-196400 of 1611142 results.
ID: 196391
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1085636
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196392
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197735
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196393
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 543546
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196394
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1085644
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196395
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1014314
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196396
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1085686
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196397
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 238151
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196398
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1797895
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 30
ID: 196399
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 151030
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196400
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 977990
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0