CMS Formulary

Displaying 202851-202860 of 1611142 results.
ID: 202851
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202852
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202853
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966249
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202854
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 892251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202855
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202856
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202857
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202858
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 349477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202859
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 606726
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202860
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 606730
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0