CMS Formulary

Displaying 197161-197170 of 1611142 results.
ID: 197161
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1294621
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197162
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197163
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197164
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 849831
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197165
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 849835
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197166
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1998457
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197167
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1998463
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197168
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1998453
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197169
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1998455
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197170
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1998459
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0