CMS Formulary

Displaying 202731-202740 of 1611142 results.
ID: 202731
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2047868
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202732
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494778
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202733
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494781
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202734
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494775
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202735
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494766
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202736
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494771
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202737
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 832718
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202738
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1801299
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202739
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 832731
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202740
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1801295
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0