CMS Formulary

Displaying 198111-198120 of 1611142 results.
ID: 198111
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198112
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1486452
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198113
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198114
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198115
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1422081
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198116
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1427300
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198117
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198118
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1727521
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198119
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1999724
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198120
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1873704
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0