CMS Formulary

Displaying 202261-202270 of 1611142 results.
ID: 202261
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202262
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202263
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202264
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197860
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202265
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197861
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202266
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197862
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202267
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 105585
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202268
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197931
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202269
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 312617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202270
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0