CMS Formulary

Displaying 196561-196570 of 1611142 results.
ID: 196561
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 349194
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196562
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 349195
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196563
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 349198
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196564
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 403825
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196565
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 312439
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196566
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198103
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196567
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 250820
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196568
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 858751
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196569
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 858733
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196570
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 848943
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0