CMS Formulary

Displaying 202661-202670 of 1611142 results.
ID: 202661
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896237
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202662
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896245
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202663
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896273
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202664
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 895996
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202665
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896001
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202666
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 896006
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202667
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1539893
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202668
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1487528
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202669
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1547660
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202670
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1547672
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0