CMS Formulary

Displaying 202861-202870 of 1611142 results.
ID: 202861
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198324
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202862
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198325
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202863
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198323
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202864
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 855942
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202865
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 618552
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202866
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 313366
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202867
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000070
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202868
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 242333
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202869
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 241527
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202870
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 403922
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0