CMS Formulary

Displaying 197821-197830 of 1611142 results.
ID: 197821
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198334
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197822
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198335
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197823
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 433798
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197824
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 433800
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197825
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 433799
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197826
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 433801
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197827
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 979468
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 197828
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 979464
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 197829
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 979471
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 197830
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0