CMS Formulary

Displaying 97121-97130 of 1611142 results.
ID: 97121
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 311353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97122
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 311354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97123
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 197884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97124
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 197885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97125
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 197886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97126
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97127
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97128
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97129
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 97130
Formulary ID: 00021037
Formulary Version: 14
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0