CMS Formulary

Displaying 197401-197410 of 1611142 results.
ID: 197401
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197402
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197403
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197404
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 476872
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197405
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197406
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197407
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197408
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197409
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197410
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0