CMS Formulary

Displaying 196491-196500 of 1611142 results.
ID: 196491
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196492
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196493
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196494
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196495
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196496
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196497
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196498
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196499
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196500
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0