CMS Formulary

Displaying 202191-202200 of 1611142 results.
ID: 202191
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1373327
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202192
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 905164
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202193
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 688242
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202194
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 205739
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202195
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 208513
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202196
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 404550
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202197
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 150840
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202198
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 208949
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202199
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202200
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0