CMS Formulary

Displaying 202651-202660 of 1611142 results.
ID: 202651
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 835886
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202652
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 866049
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202653
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896019
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202654
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896027
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202655
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896023
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202656
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 213484
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202657
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 759473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202658
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202659
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896212
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202660
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896229
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0