CMS Formulary

Displaying 197541-197550 of 1611142 results.
ID: 197541
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313408
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197542
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1536490
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197543
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1806955
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197544
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1806966
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197545
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1806921
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197546
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1806926
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197547
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1806931
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197548
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 310878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197549
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1049696
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197550
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311982
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0