CMS Formulary

Displaying 202381-202390 of 1611142 results.
ID: 202381
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 404551
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202382
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 404553
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202383
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 977436
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202384
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 977440
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202385
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 977431
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202386
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2056897
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202387
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 746609
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202388
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 730992
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202389
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 845512
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202390
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 847734
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0