CMS Formulary

Displaying 197941-197950 of 1611142 results.
ID: 197941
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 647237
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197942
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 647239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197943
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198313
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197944
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198312
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197945
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 643123
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197946
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 643125
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197947
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 643127
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197948
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 833461
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197949
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 197520
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197950
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 352210
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0