CMS Formulary

Displaying 196721-196730 of 1611142 results.
ID: 196721
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 899607
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196722
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 899642
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196723
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 899705
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196724
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 866427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196725
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 866412
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196726
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 866419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196727
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198034
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196728
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198035
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196729
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198036
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196730
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1807917
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0