CMS Formulary

Displaying 202371-202380 of 1611142 results.
ID: 202371
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966250
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202372
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 847741
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202373
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966191
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202374
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966201
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202375
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966205
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202376
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966251
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202377
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966218
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202378
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202379
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966185
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202380
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 212957
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0