CMS Formulary

Displaying 197391-197400 of 1611142 results.
ID: 197391
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197392
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197393
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197394
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197395
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197396
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197397
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197398
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197399
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197400
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0