CMS Formulary

Displaying 198441-198450 of 1611142 results.
ID: 198441
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1006065
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198442
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198443
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198444
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1369737
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198445
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1722676
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198446
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1369770
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198447
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2463741
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198448
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 808917
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198449
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1941470
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198450
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1941476
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0