CMS Formulary

Displaying 196831-196840 of 1611142 results.
ID: 196831
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1011081
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196832
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 700408
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196833
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1112687
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196834
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 748879
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196835
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 238153
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196836
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 359385
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196837
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 834768
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196838
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 835956
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196839
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 748859
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196840
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1359032
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0