CMS Formulary

Displaying 196601-196610 of 1611142 results.
ID: 196601
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 248656
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196602
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 749780
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196603
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 204844
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196604
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198372
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196605
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196606
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196607
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1716099
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196608
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1659803
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196609
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 833463
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196610
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1242819
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0