CMS Formulary

Displaying 202291-202300 of 1611142 results.
ID: 202291
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2058922
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202292
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 978737
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202293
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 978757
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202294
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 978741
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202295
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 978745
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202296
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2103175
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202297
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 978747
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202298
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2103179
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202299
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 978778
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202300
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2284108
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0