CMS Formulary

Displaying 114681-114690 of 1611142 results.
ID: 114681
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 204874
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114682
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 313415
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114683
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 1006120
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114684
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 2260709
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114685
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 197310
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114686
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 309045
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114687
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114688
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114689
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 114690
Formulary ID: 00021043
Formulary Version: 14
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0