CMS Formulary

Displaying 197781-197790 of 1611142 results.
ID: 197781
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 283406
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197782
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 283407
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197783
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 283485
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197784
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 756209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197785
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311943
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197786
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313850
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197787
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313222
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197788
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861743
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197789
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861748
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197790
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861753
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0