CMS Formulary

Displaying 198371-198380 of 1611142 results.
ID: 198371
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1600695
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198372
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311913
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198373
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1744001
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198374
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1744005
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198375
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1744009
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198376
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1243585
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198377
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198378
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 309307
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198379
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1790684
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198380
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 201912
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0