CMS Formulary

Displaying 202711-202720 of 1611142 results.
ID: 202711
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198033
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202712
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197444
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202713
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197445
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202714
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202715
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202716
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1001004
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202717
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 903873
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202718
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 903879
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202719
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 351264
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202720
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 904605
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0