CMS Formulary

Displaying 196961-196970 of 1611142 results.
ID: 196961
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311787
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196962
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1605088
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196963
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 199370
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196964
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197511
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196965
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 309309
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196966
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197512
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196967
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1373333
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196968
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1373335
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196969
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1373337
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 196970
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313990
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0