CMS Formulary

Displaying 202071-202080 of 1611142 results.
ID: 202071
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202072
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 847189
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202073
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 847199
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202074
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1731317
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202075
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 643177
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202076
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 643173
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202077
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 643175
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202078
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 799830
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202079
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1045408
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202080
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1045404
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0