CMS Formulary

Displaying 197961-197970 of 1611142 results.
ID: 197961
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1737244
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197962
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1737581
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197963
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 2049891
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197964
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 540617
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197965
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1110806
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197966
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 213337
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197967
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 106351
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197968
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198241
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197969
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 198242
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 197970
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 485489
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0