CMS Formulary

Displaying 202831-202840 of 1611142 results.
ID: 202831
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198275
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202832
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202833
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198285
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202834
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 856422
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202835
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 199903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202836
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 998671
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202837
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 998675
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202838
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 998679
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202839
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000048
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202840
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 876524
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0