CMS Formulary

Displaying 1691-1700 of 1611142 results.
ID: 1691
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190919
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1692
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244205
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1693
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1694
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1695
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1696
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1697
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1698
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1699
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1700
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0