CMS Formulary

Displaying 197511-197520 of 1611142 results.
ID: 197511
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1738805
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197512
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1738807
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197513
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 897584
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197514
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 897590
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197515
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 897596
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197516
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 199055
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197517
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 317769
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197518
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 314208
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197519
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 312847
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197520
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 205284
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0