CMS Formulary

Displaying 197291-197300 of 1611142 results.
ID: 197291
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197292
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 309332
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197293
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197519
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197294
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000126
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197295
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1000153
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197296
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198232
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197297
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197298
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197299
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 309337
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197300
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1596023
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0