CMS Formulary

Displaying 198351-198360 of 1611142 results.
ID: 198351
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1731020
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198352
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 751563
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198353
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 753451
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198354
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 751139
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198355
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 403930
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198356
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1944656
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198357
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197843
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198358
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197844
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198359
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197845
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198360
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 728113
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0