CMS Formulary

Displaying 101-110 of 1611142 results.
ID: 101
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 102
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 103
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762839
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 104
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762843
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 105
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762875
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 106
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762849
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 107
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762852
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 108
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762859
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 109
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762868
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762897
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0