CMS Formulary

Displaying 198531-198540 of 1611142 results.
ID: 198531
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198532
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198533
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198534
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198535
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198536
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198537
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198538
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198539
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198540
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0