CMS Formulary

Displaying 196911-196920 of 1611142 results.
ID: 196911
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1091638
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196912
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1091623
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196913
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1543069
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196914
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1010878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196915
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1085741
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196916
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197720
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196917
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1191302
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196918
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310152
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196919
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1370763
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196920
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1190357
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0