CMS Formulary

Displaying 202271-202280 of 1611142 results.
ID: 202271
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202272
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 603978
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202273
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 213729
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202274
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 213272
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202275
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 206792
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202276
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 207100
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202277
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 208821
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202278
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 213307
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202279
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 211020
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202280
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 804547
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0