CMS Formulary

Displaying 196861-196870 of 1611142 results.
ID: 196861
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 668364
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196862
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 668365
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196863
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 668366
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196864
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 668367
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196865
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2468058
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196866
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2471314
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196867
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1653433
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196868
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196869
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 831533
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196870
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1359134
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0