CMS Formulary

Displaying 202181-202190 of 1611142 results.
ID: 202181
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1876406
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202182
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2375329
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202183
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2099302
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202184
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1797880
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202185
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 902648
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202186
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 902652
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202187
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1113046
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202188
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 863836
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202189
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 863841
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202190
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 863829
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0