CMS Formulary

Displaying 197831-197840 of 1611142 results.
ID: 197831
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 313134
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197832
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 562508
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197833
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 849398
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197834
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 849431
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197835
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 861783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197836
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 617430
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197837
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 199884
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197838
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 311296
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197839
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 200285
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 197840
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 349353
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30