CMS Formulary

Displaying 202721-202730 of 1611142 results.
ID: 202721
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 904571
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202722
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 904583
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202723
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 904593
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202724
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 848951
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202725
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 835958
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202726
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 834346
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202727
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 993466
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202728
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 993470
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202729
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 993462
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202730
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1867547
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0