CMS Formulary

Displaying 196951-196960 of 1611142 results.
ID: 196951
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1313785
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196952
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 207588
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196953
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 213510
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196954
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 541660
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196955
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 541662
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196956
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 541664
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196957
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 541666
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196958
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1433736
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196959
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196960
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 199148
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0