CMS Formulary

Displaying 196891-196900 of 1611142 results.
ID: 196891
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196892
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196893
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1111110
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196894
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2279847
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196895
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196896
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196897
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196898
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196899
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1001690
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196900
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2465556
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0