CMS Formulary

Displaying 196551-196560 of 1611142 results.
ID: 196551
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 403970
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196552
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 403971
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196553
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196554
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196555
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1251903
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196556
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 721787
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196557
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 860215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196558
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 860221
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196559
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198056
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196560
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 351276
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0