CMS Formulary

Displaying 190521-190530 of 1611142 results.
ID: 190521
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 801966
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190522
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 830877
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190523
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 830879
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190524
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 830882
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190525
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 830897
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190526
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 245723
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190527
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 198363
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190528
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 200220
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190529
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 830861
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 190530
Formulary ID: 00021081
Formulary Version: 13
Contract Year: 2021
RXCUI: 830845
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0